• Title/Summary/Keyword: Intervention studies

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Convergence Effects of Treadmill Training on Plantar Pressure, Lower Limb Muscle Function, and Balance in Chronic Stroke : A Meta-Analysis (만성 뇌졸중 환자의 트레드밀 훈련이 족저압, 하지 근 기능, 균형에 미치는 융복합적 효과 : 메타분석)

  • Choi, Ki-Bok;Cho, Sung-Hyoun
    • Journal of the Korea Convergence Society
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    • v.11 no.5
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    • pp.87-96
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    • 2020
  • The purpose of this study is to evaluate the convergence effectiveness of treadmill training in patients with chronic stroke through a meta-analysis. After searching the literature based on the patients, intervention, comparison, outcome criteria, and study desigan, a total of 22 studies related to "stroke" and "treadmill" were eligible for inclusion. Effect size was calculated using the comprehensive meta-analysis program for the meta-analysis. Based on the forest plot results, the overall effect size of treadmill training was 0.661 (95% confidence interval: 0.456-0.865), which was statistically significant with a medium effect size (p < 0.05). The effects of treadmill training on patients with stroke were separated by dependent variables of interest-plantar pressure (1.147), lower limb muscle function (0.875), and balance (0.664). The effect sizes were evaluated for the subdomains of timed up and go test (0.553), Berg Balance Scale (0.760), and static balance index (0.654) for balance. Therefore, treadmill training can be expected to have a positive impact on improving the quality of life of patients with chronic stroke. This meta-analysis of treadmill training may the lead to an industry paradigm shift toward healthcare convergence of information, communication, and medical technology.

Effect of Vigna angularis on Toll-like Receptor Activation and Pro-inflammatory Cytokine Production (적소두 추출물이 톨유사수용체 활성 및 염증유발 사이토카인의 생성에 미치는 영향)

  • Kim, Mi-Hwa;Jeoung, See-Hwa;Lee, Seung-Woong;Kim, Hyun-Kyu;Park, Chan-Sun;Jeon, Byung-Hun;Oh, Hyun-Mee;Rho, Mun-Chual
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.26 no.4
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    • pp.511-518
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    • 2012
  • The mechanisms of Toll-like receptor (TLR) signaling have been the focus of extensive studies because TLRs are the target of therapeutic intervention on multiple diseases. In this study, we investigated the inhibitory potential of Vigna angularis (azuki bean) on the TLR signaling. The effect of Vigna angularis extract (JSD) on TLR activation was investigated by assessing NF-${\kappa}B$ and AP-1 inducible secreted embryonic alkaline phosphatase (SEAP) activity. JSD significantly inhibited SEAP activity induced by poly I:C (TLR3 ligand) and poly I (TLR7 ligand) in a dose-dependent manner at concentration below 100 ${\mu}g/ml$ with no sign of cytotoxicity. Pretreatment of JSD markedly suppressed mRNA expressions of pro-inflammatory cytokines and adhesive molecules such as TNF-${\alpha}$, IL-6, RANTES, MCP-1 and ICAM-1 induced by TLR ligands. It also diminished the phosphorylation of $I{\kappa}B$ kinase and $I{\kappa}B$, and followed by $I{\kappa}B$-mediated nuclear translocation of p50, p65, and phosphorylation of p38, JNK, and IRF signaling pathway. In conclusion, our results suggest that Vigna angularis has inhibitory activity on TLR-3 and -7 signaling and it can be further developed as a remedy in curing TLR-related multiple diseases.

Comparative Review of Current Clinical Trials on Abdominal Obesity (복부비만 관련 임상시험의 국내외 연구경향 고찰)

  • Lim, Je-Yeon;Song, Yun-Kyung;Lim, Hyung-Ho
    • Journal of Korean Medicine Rehabilitation
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    • v.20 no.2
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    • pp.63-77
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    • 2010
  • Objectives : It is known that abdominal obesity increases the possibility of cardiovascular diseases, early death, and metabolic syndrome including dyslipidemia and insulin resistance. Clinical trials have been under way to verify the effectiveness of treatment for abdominal obesity. The objective of this study is to set criteria about how effective oriental medicine and acupuncture are in abdominal obesity. Methods : I manually search "www.clinicaltrial.gov", 4 Korean medical databases and 4 Korean medical journals of abdominal obesity. Search terms used were "abdominal obesity" or "visceral obesity". In order to see detail review, searching was performed from 01, 01, 2005 to 11, 31, 2009. And I classified all the searched studies into design, intervention, purpose, end point, diseases, condition and etc. Results : 1. I could search total 67 trials in "www.clinicaltrial.gov". I found 9, 10, 13, 8, 6 clinical trial from 2005 to 2009 every year. 2. Test on both gender and adult or adult and senior have been most frequent. 3. Randomization clinical trial is 51 cases that occupied 96.2%. 38 cases use control group. 4. Body mass index(BMI) and waist circunference(WC) are major criteria of abdominal obesity clincal trial. WC, BMI, abdominal fat mass, body weight are measured at end point of abdominal obesity clincal trial. 5. I could search total 86 cases in domestic study. I found 15, 23, 23, 20, 5 cases from 2005 to 2009 every year. 6. Test on female and adult have been most frequent in domestic study. 7. Randomization clincal trial is only 2 cases that occupied 2.3%. 62 cases use control group in domestic study. 8. BMI, body fat percent, WC, visceral-subcutaneous fat ratio(VSR), waist-hip ratio(WHR) are criteria of abdominal obesity clincal trial in domestic study. WC, BMI, abdominal fat mass, body weight are measured at end point of abdominal obesity clincal trial in domestic study. Conclusions : To improve abdominal obesity study in traditional korean medicine, it is need to activate clinical trial, meta analysis, develope of clinical practice guidelines, co-works with conventional medicine and etc.

Influences of Father's Involvement in Parenting on Child's Problematic Behaviors and Mother's Psychological Well-being: Focused on Latent Classes Growth Analysis (아버지 양육참여 변화 유형에 따른 자녀의 문제행동 및 어머니의 심리적 특성 차이 비교: 잠재계층성장모형 적용을 중심으로)

  • Yeon, Eun Mo;Choi, Hyo-Sik
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.1
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    • pp.468-476
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    • 2020
  • This study investigated how latent groups depend on the longitudinal trajectories observed in fathers' involvement in parenting over a five year period, and the study also determined differences in children's behavioral problems and mother's parenting stress, marital satisfaction, and depression among these groups. By utilizing 1,316 sets of data from 1st to 5th Panel Survey of PSKC beginning in 2008, we examined the patterns of the latent groups and the differences among them. The results showed that, first, a changing pattern of fathers' involvement in parenting is classified into four groups: a low-stable group, a decreasing group. a middle-high changeable group, and a highest changeable group. According to the results of the latent groups, the fathers' involvement in parenting commonly started to decrease at the children's age of 4 years old. Second, problematic behaviors of children appeared more from the fathers in the decreasing group. Third, parenting stress, marital conflict, and depression were more often found in the low-stable group that in the decreasing group. the middle-high changeable group and the highest changeable group (in that order), while marital satisfaction showed a completely opposite pattern. Based on these results, political intervention and the future direction of research for fathers' involvement in parenting are needed in order to increase better behaviors of their children as well as the psychological well-being of their mothers.

A Study on the effect of Vocational Decision Status According to Career Worries of Holland Preference Type's University Students (Holland 유형별 대학생의 진로걱정이 진로결정상태에 미치는 영향 연구)

  • Choi, Mis-Seo
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.5
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    • pp.3111-3120
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    • 2015
  • This research analyzes the decision-making status of expected graduates depending on their Holland preference type, as well as the influence career worries have on vocational decision status. By discovering this mediating effect, career counselors can carry out counseling based on the variety of career worries college students have, further supporting self-actualization of the client. As the previous studies on group counseling programs and the effects of career counseling have not yet considered the difference between various types of career worries and carried out identical programs and counseling method, this study is significant in marking the emergence of differentiated counseling intervention and strategy for more effective career counseling. This research is based on a survey conducted on 606 expected graduates attending six 4-year universities in Seoul, Gyeonggi, Chungcheong areas. The students surveyed are in the second semester of their senior (4th)years, during two weeks from november 4, 2013. First, the results showed that the level of career worries and the type of career worries differed between college students that have different types of Holland preference, and such difference was meaningful. Second, examination on the influences that career worries have on different vocational decisions depending on Holland preference types, found that the state of anxiety-free and anxiety toward career and dependence, as one of vocational decision types, together work as mediators. In conclusion, the significance of this research lies on that it reveals the mediating effects that career worries have on vocational decision status of college students.

Correlations between Sensory Processing Patterns and Pain Catastrophizing Levels in Well Older Adults (노인의 감각처리유형과 통증 파국화 수준의 상관성 검토)

  • Jung, Woo-Young;Kang, Dae-Hyuk;Park, So-Yeon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.1
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    • pp.214-222
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    • 2013
  • This study investigated the relationships between sensory processing patterns and pain catastrophizing levels in well older adults to provide basic information for rehabilitation intervention. The participants of this study were 216 older adults aged over 65. The Adolescent/Adults Sensory Profile(AASP) was used to measure sensory processing patterns and the Pain Catastrophizing Scale(PCS) was employed to evaluate psychological variables of the pain. Self perception of the pain was measured with the Numerical Rating Scale(NRS). Gender and age differences were analyzed with t-test and relationships among sensory processing patterns, pain catastrophizing and pain symptom levels were analyzed with Pearson product-moment coefficients of correlation. Women had higher 'sensory sensitivity' and 'sensory avoiding.' The group over 75 years old had higher 'sensory avoiding,' 'low registration' and 'sensory seeking.' Women had higher pain catastrophizing and pain symptom levels. Negative correlations between 'rumination' and 'low registration' and 'helplessness' and 'sensory seeking' were found. Positive correlations were found between pain catastrophizing and pain symptom levels when they were 'sensory sensitivity' and 'sensory avoiding.' The results infer that sensory processing patterns are associated with psychological variables of the pain and there are differences based on gender and age. Further studies are warranted to support the results.

An Exploration on Prescription of Resistance Training for Geriatric Physical Therapy (노인물리치료를 위한 저항트레이닝 처방에 대한 탐색)

  • Shin Hong-Cheul;Jeong Dong-Hyuk
    • The Journal of Korean Physical Therapy
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    • v.15 no.1
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    • pp.61-81
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    • 2003
  • There can be little dissension that the ultimate goal of all physical therapy interventions with the elderly is to restore or maintain the highest level of function possible for the individual. Whenever physical therapists take on this challenge, they assist elders in maintaining their identities as competent adults. Advancing age is associated with profound changes in body composition, including increased fat mass, decreased fat-free mass(particularly muscle), decreased total body water and decreased bone density. Along with these changes in body compositions, and perhaps as a direct result of them, elderly people have lower energy needs, reduced strength and functional capacity and a greatly increased risk for such diseases as noninsulin-dependent diabetes mellitus and osteoporosis. Resistance training is considered a promising intervention for reversing the loss of muscle function and the deterioration of muscle structure that is associated with advanced age. This reversal is thought to result in improvements in functional abilities and health status in the elderly by increasing muscle mass, strength and power and by increasing bone mineral density. In the past couple of decades, many studies have examined the effects of Resistance training on risk factors for age-related diseases or disabilities. We have explored the positive and negative aspects of older adults' participation in resistance training programs. The benefits to older adults are reported to be increased strength, endurance, muscle capacity, and flexibility; more energy; and improved self-image and confidence. The negative aspects include some pain or stiffness and other nonspecific problems. The positive and negative aspects of resistance training are therefore very similar to those in younger populations. Scientific investigations over the past 10 years have demonstrated that resistance training can be safely and successfully implemented in older populations. Even the frail and very sick elderly can benefit and improve their quality of life. Proper design and progression of a resistance training program for older adults is vital to optimal benefits from resistance exercise. The results of data provided by this research on resistance training for health shows that there is enough existing evidence to conclude that resistance training, particularly when incorporated into a comprehensive fitness program, can offer substantial health benefits which can be obtained by persons of all ages. These benefits, including improvements in functional capacity, translate into an improved quality of life.

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A Comparison Study of Foreign Nation's Risk Management Programs for Controlling Foodborne Pathogens (제외국 식중독균 위해관리 정책 비교 연구)

  • Lee, Jong-Kyung;Shin, Seong-Gyun;Kwak, No-Seong;Cho, Yoon-Hee;Kwak, Hyo-Sun;Park, Il-Kyu
    • Journal of Food Hygiene and Safety
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    • v.29 no.1
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    • pp.6-15
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    • 2014
  • This study was performed to acquire the information on the foodborne pathogen risk management programs in a couple of developed countries by the expert meeting and searching the information on the web. The backgrounds, strategies and effects related to microbial hazards of the foodborne pathogen reduction programs in fresh produce (US), Escherichia coli O157:H7 in ground beef (US), Salmonella in chicken, pork and eggs (Denmark), and Vibrio parahaemolyticus in seafood (Japan) were investigated for case study. A comparison among the pathogen reduction programs was conducted to find advantages and disadvantages and implications of the policies to bring out implications of the programs. A model for foodborne pathogen reduction program was developed based on both the CODEX risk management scheme and the case studies as follows; 1) preliminary risk management activities, 2) planing a foodborne pathogen reduction program, 3) option identification and selection, 4) implementation (conducting the each stake-holders role and applying the intervention methods), 5) monitoring activities, 6) interim review, 7) continuation or amendment of implementation method by the interim review before achieving the goal, and 8) final review and additional cost-benefit analysis if necessary. This proposed model according to the role of the stake-holders can be used to conduct microbial risk management programs in Korea in the near future.

Modeling the Conception of Giftedness in Invention Based on Inventor's Three Main Aptitudes (3대 핵심역량을 중심으로 한 미래지향적 발명영재상 정립에 대한 연구)

  • Lee, Jaeho;Park, Kyungbin;Jin, Sukun;Ryu, Jiyoung;Ahn, Seonghun;Jin, Byung wook
    • Journal of Gifted/Talented Education
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    • v.23 no.3
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    • pp.435-452
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    • 2013
  • The purpose of this study was to investigate a useful model of giftedness in invention. Lee, et al.(2012a) with many other specialists in education for the gifted in invention had proposed a model which looked promising as the theoretical foundation for the field of gifted education in invention, which has been absent for a decade after gifted education in the area of invention started in Korea. Results from two delphi studies and specialists numerous discussions by resulted in a more refined model of giftedness in invention. The new model is based on the inventor's three main aptitudes, which are Knowledge-Skill aptitude, Synthesis-Creativity aptitude, and Character aptitude. These three aptitudes are integrated with 12 factors and 40 behaviors. Through the outcome of this study, we can expect the following : The field of gifted education in invention can have the theorical foundation that practitioners and researchers can share for further practical and academical communication. The new model of giftedness in invention can be used as the basis for identifying promising students who are gifted in invention. Programs and Intervention for gifted students in invention can be designed or evaluated based on the new model.

Components of geriatric nursing robot for Korean elderly : Based on the Focus Group Interview (포커스그룹을 통한 한국형 노인 간호 동물로봇 구성요소 확인)

  • Kim, Shinmi;Lee, Insook
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.10
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    • pp.527-536
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    • 2016
  • The purpose of this study was to explore the components of the geriatric robot pet, which might be helpful in caring for elderly people in the future. Focus group interview-with two focus groups-was performed between August 2014 and December 2014. Study participants were 13 geriatric experts from nursing, medicine, social work, and physical/occupational therapy. All interview data were transcribed, followed by debriefing and a qualitative content analysis. Three main themes emerged: acknowledgment of the usefulness of geriatric robot pet, establishment of elderly-centered appearance, and the functions of the robot pet to meet the needs of elders and family members. The robot pet was considered to be useful to elders who live alone since they can benefit from companionship and care provided by the robot pet. Geriatric robot pet needs to be manageable in size and weight, like a small dog. Moreover, a function that allows for interaction with and monitoring the elderly would be beneficial. The baseline elements that could guide further development of contents for the Korean geriatric robot pet were proposed from the results of FGI. Studies that validate these elements are necessary.