Objectives : The mortality rate of subarachnoid hemorrhage(SAH) has been reduced recently due to refinement of microsurgical technique and improved perioperative management. Also, many survivors of SAH show excellent neurological recoveries. However, we found that a high proportion of the survivors do not fully regain their premorbid status in cognitive and memory function. Object of this study is to evaluate which factors might influence on cognitive and memory impairment in ruptured aneurysmal SAH patients. Methods : In this prospective study, a series of 66 patients with aneurysmal subarachnoid hemorrhage(SAH) from 1996 to 1998, most of whom had a "good" or "fair" neurological outcome, were assessed with various tests of cognition and memory function. All patients underwent clipping operation by pterional approach. Right side approach was performed in 16 case and left 21 cases. K-WAIS(Korean-Wechsler Adult Intelligence Scale) was used as method of cognition and memory function test. The time interval between SAH and assessment varied between 4 months and 8 months, averaging 6.2 months. Statistical analyses were carried out for each test score to see whether aneurysm site(A-com : non A-com), route of approach, age and sex, vasospasm, Hunt-Hess grade and Fisher CT group at admission, Glasgow Outcome Scale(GOS) at discharge affect cognitive and memory function. Results : Aneurysm site was not shown to be associated with performance on any test, and the initial grade (Hunt-Hess grade, Fisher CT group) of SAH and vasospasm had only minimal predictive values. The grade at discharge( GOS) was proved to be the best predictor of impairment of cognition and memory function within 1 year after operation. Conclusion : The authors conclude that the diffuse effects of SAH are more important than focal neuropathology in relation to cognitive impairment in this group of patients.
Proceedings of the Korean Institute of Information and Commucation Sciences Conference
/
2019.05a
/
pp.163-164
/
2019
In this study, we compared the differences between groups in a model that investigates the effect of smartphone users on the intent to use continuously. There are various methodologies for group difference analysis, but in this study, we try to verify the size comparison of regression analysis $R^2$. In order to analyze the difference between groups, we try to prove through hypothesis test whether there is a meaningful difference in the intention of continuous use of Korean and Chinese smartphone users collected through previous research. The results of the analysis are useful as a method to determine whether smartphone users in China and Korea are aware of differences or not. According to this procedure, first, the formula for calculating Z-transformation of Fisher and Z-score test statistic calculation formula were used. However, this methodology is also used in the verification of control effect using correlation coefficient. Also, the theoretical implications are presented based on the analysis results.
Baik, Seung Jun;Hong, Dae Young;Kim, Sin Young;Kim, Jong Won;Park, Sang O;Lee, Kyeong Ryong;Baek, Kwang Je
Journal of The Korean Society of Emergency Medicine
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v.29
no.5
/
pp.449-454
/
2018
Objective: The SAFARI score was introduced to assess the risk of convulsive seizure during admission for aneurysmal subarachnoid hemorrhage in 2017. This study was conducted to determine whether the SAFARI score derived from the afore-mentioned study could be applied to patients with aneurysmal subarachnoid hemorrhage in Korea. Methods: We conducted a retrospective study of patients who were diagnosed with aneurysmal subarachnoid hemorrhage from March 2013 to October 2017. Patients' age, sex, blood pressure, pulse rate, body temperature, Glasgow-Coma Scale, Hunt-Hess scale, modified Fisher grade, size of ruptured aneurysm, surgery type, transfusion, and SAFARI score were compared between the seizure and non-seizure groups. The area under the receiver operator characteristic curves was calculated to evaluate the predictive ability for seizure during admission. Logistic regression analysis was used to analyze predictive factors for seizure during admission. Results: A total of 220 patients were included. Ninety-seven (44.1%) were male and 123 (55.9%) were female. The mean age of the patients was 65.8 years old (range, 56-75). The area under the curve of the SAFARI score for predicting seizure was 0.813. The SAFARI score was the only significant predictor of seizure during admission, while other factors were not statistically significant upon logistic regression analysis. Conclusion: The SAFARI score could be used for predicting seizure during admission in patients with aneurysmal subarachnoid hemorrhage.
The Journal of Korean Academic Society of Nursing Education
/
v.19
no.4
/
pp.580-593
/
2013
Purpose: This study was conducted to develop and implement an educational program for cultural competence in nursing for nursing students, and to evaluate its effects on transcultural self-efficacy, intercultural communication competence, and state anxiety. Methods: A nonequivalent control group pretest-posttest design was used with an experimental group (n=22) and a control group (n=27). Outcome variables were measured by transcultural self-efficacy, intercultural communication competence, and state anxiety before and after the program. The experimental group participated in an educational course for cultural competence in nursing for 14 weeks while the control group did not participate in any course. Chi-square test, Fisher's exact probability test, t-test, MANCOVA, and ANCOVA were performed to analyze the data. Results: The experimental group showed significantly higher posttest scores in the transcultural self-efficacy score (F=19.76, p<.001, partial ${\eta}^2=.34$, observed power .99) and the intercultural communication competence score (F=17.56, p<.001, partial ${\eta}^2=.32$, observed power .98) than that of the control group. The experimental group showed a significantly lower state anxiety score (F=5.30, p=.027, partial ${\eta}^2=.12$, observed power .61) than that of the control group. Conclusions: This educational program was effective on nursing students' cultural competence. Therefore, it is suggested that this program be used for other nursing students. It is also necessary to evaluate its effects after a longer period.
Purpose: The purpose of this study was to explore the correlates of maternal perception (identification and satisfaction) of children's weight, maternal body shape satisfaction, and maternal feeding styles in Korean preschool-aged children. Methods: A cross-sectional survey design was utilized. Participants consisted of 287 pairs of preschool-aged children (3-6 years) and their mothers. Data were analyzed by ${\chi}^2$-test, Fisher's exact test, ANOVA, and the Pearson correlation coefficient. Results: Among the 287 mothers, 47.7% underestimated their children's weight, while 15.7% overestimated it. 46.7% of the mothers wished their children weighed more, while 11.1% of them wished their children weighed less. The mean score of maternal body shape satisfaction was $83.75{\pm}28.77$. The mean score of parent-centered feeding styles was $2.95{\pm}0.54$, and the mean score of child-centered feeding styles was $3.33{\pm}0.42$. There were statistically significant correlations between maternal identification of children's weight and children's body mass index (BMI) (r=-.366, p<.001). In addition, there were statistically significant correlations between maternal satisfaction of children's weight and children's BMI (r=-.484, p<.001), maternal BMI (r=-.126, p=.033), and maternal body shape satisfaction (r=-.127, p=.031). Conclusion: The results of the study suggest that intervention programs for mothers to develop more accurate perception of their child's weight should be established.
Objective : This study was conducted to evaluate of efficacy and safety of Vanadium Water (VW) on Cancer related Fatigue of Non-advanced Cancer Patients. Methods : Experimental Group Administration. Participants in treatment group consumed three 500 ml/bottle bottles of Jeju Island's VW, which contains 40.2 ${\mu}g/L$ of vanadium, three times a day (morning, afternoon, evening) for 4 weeks (28 days) without any additional treatments for fatigue improvement. The control group participants consumed three 500 ml/bottle bottles of ordinary water (0 ${\mu}g/L$ of vanadium) three times a day for the same period of time without any additional treatments for fatigue improvement. Results : After 4 weeks of VW consumption, total score of Revised Piper Fatigue Scale (RPFS) was reduced 30% and basal score after Fisher's Exact Test resulted statistical borderline significance (p=0.0799) and result of t-test of comparison between two groups' RPFS total score and fatigue cognitive/mood changes resulted statistical significance (p=0.0112). In detail, only 36.4% of control group (N=11) showed improvement while 77.8% of treatment group (N=9) showed fatigue improvement and thyroid hormone level changes. No other lab measures indicated any significant differences between two groups. Conclusion : Daily consumption of 1.5 L of Vanadium water for 4 weeks showed improvement of non-advanced cancer patients' fatigue.
The study tried to develop a parent-involvement sex education program and find out its effects for more effective sex education methods for high graders of a primary school. The subjects were recruited from 5 classes of 6th graders in Y Primary School in N city, Kyeonggido province, South Korea. Data collection was done from October 4, 2003 to November 7. The experimental group consisted of 43 students from 3 classes with the help from class teachers and parents' involvement in the program. The control group consisted of 43 students randomly sampled by computer from the other two classes. For the experimental methods, the experimental group was given a parent-involvement sex education program as well as a student sex education program: the control group only received the student sex education program. The results were analyzed according to frequency, percentage, $x^2$-test, fisher's exact test and t-test using SAS program. As a result of the homogeneity test, both the groups proved to be the same (t=-0.29 p=0.77, t=0.49 p=0.62) in preliminary sex-attitude and sex-related communication frequency score. But the two group showed meaningful differences (t=2.52 p=0.01, t=2.04, p=0.04) in preliminary sex-knowledge and sex-related communication quality score. After the sex education programs, the two groups didn't show meaningful statistic differences(t=-0.42 p=0.68, t=1.57 p=0.12) in preliminary sex-knowledge and sex-related communication quality score. But the experimental group was statistically more meaningful (t=2.16 p=0.03, t=4.86 p<0.0001) in the difference of sex attitude and sex-related communication frequency than the control. The parent-involvement sex education program developed in this study was more effective for improving their sex attitude and for increasing the frequency of their sex-related communication with parents than the existing student program. Therefore, for sex education, it's necessary to develop and spread various programs where parents can be involved.
BACKGROUND/OBJECTIVES: This study aimed to assess the dietary behaviors of preschool children using the nutrition quotient for preschoolers (NQ-P) and analyzed the difference in the scores of the children's dietary behaviors in regards to the parents' health consciousness. SUBJECTS/METHODS: The subjects were 257 children aged 3-5 years and their parents residing in Seoul and Gyeonggi-do, South Korea. The questionnaire is composed of demographic characteristics, the NQ-P questions, and health consciousness. All data were statistically analyzed by SPSS program (ver. 25.0) and the statistical differences in variables were evaluated by χ2 test, Fisher's exact test, t-test, 1-way analysis of variance and Tukey's multiple comparison test. RESULTS: There was a significant difference on the intake frequency of processed meat by region and fast foods by age, region, and weight status (P < 0.05). There was also a significant difference in not moving around while eating by weight status and parents' effort to have healthy eating habits by sex (P < 0.05). The mean score of NQ-P of the total subjects was 59.47, which was within the medium-low grade. The mean score of balance was 61.62, and the boys were significantly higher than girls (P < 0.05). As the age of children increased, the mean score of the moderation was significantly decreased (P < 0.05). The scores of NQ-P (P < 0.05), balance (P < 0.01), and environment (P < 0.05) were significantly higher in the high group of parents' health consciousness than the low group. CONCLUSIONS: According to the results of the evaluation by NQ-P, the dietary behaviors of preschoolers residing in Seoul and Gyeonggi-do need to be improved. For improving their eating behavior and nutritional health status, parents and children need customized nutrition education programs based on sex, age, region and weight status of preschool children as well as the degree of parents' health consciousness.
Objective : Cerebral vasospasm still remains a major cause of the morbidity and mortality, despite the developments in treatment of aneurysmal subarachnoid hemorrhage. The authors measured the utility and benefits of external lumbar cerebrospinal fluid (CSF) drainage to prevent the clinical vasospasm and its sequelae after endovascular coiling on aneurysmal subarachnoid hemorrhage in this randomized study. Methods : Between January 2004 and March 2006, 280 patients with aneurysmal subarachnoid hemorrhage were treated at our institution. Among them, 107 patients met our study criteria. The treatment group consisted of 47 patients who underwent lumbar CSF drainage during vasospasm risk period (about for 14 days after SAH), whereas the control group consisted of 60 patients who received the management according to conventional protocol without lumbar CSF drainage. We created our new modified Fisher grade on the basis of initial brain computed tomography (CT) scan at admission. The authors established five outcome criteria as follows : 1) clinical vasospasm; 2) GOS score at 1-month to 6-month follow-up; 3) shunt procedures for hydrocephalus; 4) the duration of stay in the ICU and total hospital stay; 5) mortality rate. Results : The incidence of clinical vasospasm in the lumbar drain group showed 23.4% compared with 63.3% of individuals in the control group. Moreover, the risk of death in the lumbar drain group showed 2.1 % compared with 15% of individuals in the control group. Within individual modified Fisher grade, there were similar favorable results. Also, lumbar drain group had twice more patients than the control group in good GOS score of 5. However, there were no statistical significances in mean hospital stay and shunt procedures between the two groups. IVH was an important factor for delayed hydrocephalus regardless of lumbar drain. Conclusion : Lumbar CSF drainage remains to playa prominent role to prevent clinical vasospasm and its sequelae after endovascular coiling on aneurysmal subarachnoid hemorrhage. Also, this technique shows favorable effects on numerous neurological outcomes and prognosis. The results of this study warrant clinical trials after endovascular treatment in patients with aneurysmal SAH.
Objective: The purpose of this study was to compare the shear bond strength (SBS) of brackets and microleakage of a tooth-adhesive-bracket complex bonded with a direct and an indirect bonding technique after thermocycling. Methods: Fifty non-carious human premolars were divided into two equal groups. In the direct bonding group a light-cured adhesive and a primer (Transbond XT) was used. In the indirect-bonding group, a light-cured adhesive (Transbond XT) and chemical-cured primer (Sondhi Rapid Set) were used. After polymerization, the teeth were kept in distilled water for 24 hours and thereafter subjected to thermal cycling (500 cycles). For the microleakage evaluation, 10 teeth from each group were further sealed with nail varnish, stained with 0.5% basic fuchsin for 24 hours, and examined under a stereomicroscope. Fifteen teeth from each group were used for SBS testing with the universal testing machine and adhesive remnant index (ARI) evaluation. Data were analyzed using the Mann-Whitney U test, Chi-square test, and Fisher's exact test. Results: There were no statistical differences on SBS and microleakage between the two bonding techniques. The indirect bonding group had a significantly lower ARI score. Bracket failures were obtained between enamel-resin interfaces. Conclusions: The type of bonding technique did not significantly affect the amount of microleakage and SBS.
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