• 제목/요약/키워드: Moderate

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중등도 이상의 무지 외반증에서 최소 절개를 이용한 원위 중족골 절골술의 결과 (Results of Minimal Incision Distal Metatarsal Osteotomy for Moderate to Severe Hallux Valgus)

  • 허정욱;은일수;고영철;박만준;박숙현
    • 대한족부족관절학회지
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    • 제19권2호
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    • pp.51-57
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    • 2015
  • Purpose: Minimal incision distal metatarsal osteotomy (MIDMO) is known to be an effective surgical procedure for mild to moderate hallux valgus. However, the result of MIDMO on moderate to severe hallux valgus is controversial; therefore, we investigated the radiological and clinical results of MIDMO on moderate to severe hallux valgus. Materials and Methods: We reviewed 51 feet (48 patients) with moderate to severe hallux valgus. The mean age was 67.0 years and the mean follow-up period was 32.2 months. Radiological data of hallux valgus angle, first intermetatarsal angle, and distal metatarsal articular angle on plain radiographs were analyzed. Recurrence, union, lateral translation of distal fragment and angulation were also analyzed. The clinical data were obtained using American Orthopaedic Foot and Ankle Society (AOFAS) score of preoperation and last follow-up. Receiver operating characteristic (ROC) curve was used to determine a cut-off value. Results: The mean hallux valgus angle measured at preoperation was $37.7^{\circ}$ and $15.9^{\circ}$ at last follow-up. The mean first intermetatarsal angle of preoperation and last follow-up were $15.2^{\circ}$ and $8.3^{\circ}$. The mean distal metatarsal articular angle changed from $12.6^{\circ}$ at preoperation to $7.8^{\circ}$ at last follow-up. Preoperative hallux valgus angle (p=0.0051) and distal metatarsal articular angle (p=0.0078) were statistically significant factors affecting postoperative AOFAS score. Cut-off value of each was $37^{\circ}$ and 13o, respectively. Lateral translation of distal fragment in 5 recurrent cases was 23.0% compared to 45.3% of 46 non-recurrent cases. The result was statistically significant and the cut-off value was 38%. Conclusion: Sufficient lateral translation over 38% in MIDMO on moderate to severe hallux valgus patients with preoperative hallux valgus angle under $37^{\circ}$ and distal metatarsal articular angle under $13^{\circ}$ can lead to good clinical results without recurrence.

신체활동이 고등학생의 흡연 경험 및 흡연 강도에 미치는 영향 (Influence of Physical Activity on Smoking Experience and Smoking Intensity in Korean High School Students)

  • 라진숙;조윤희
    • 한국학교보건학회지
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    • 제27권3호
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    • pp.181-188
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    • 2014
  • Purpose: The purpose of this study was to investigate the influence of physical activity on smoking experience and smoking intensity in Korean high school students. Methods: This cross sectional study used secondary data from the 2013 Adolescent Health Behavior Online Survey. A total of 35,905 high school students were included in the study. Logistic regression was used for analysis of the influence of moderate and vigorous physical activity on smoking experience in a month and smoking intensity. Results: Adolescents with low (Adjusted OR: 1.242, 95% CI: 1.075~1.436) and moderate level (Adjusted OR: 1.094, 95% CI: 1.005~1.189) of moderate physical activity had more smoking experience than reference group, high level of physical activity. Also, smoking experience was more prevalent adolescents with low (Adjusted OR: 1.191, 95% CI: 1.064~1.333) and moderate level (Adjusted OR: 1.134, 95% CI: 1.039~1.237) of vigorous physical activity. Heavy smoking was more prevalent among adolescents who had low level of vigorous physical activity (Adjusted OR: 1.912, 95% CI: 1.347~2.712). Conclusion: Based on the results of this study, physical activity has significant influence on smoking experience and smoking intensity. Therefore, physical activity should be included smoking cessation and smoking prevention program for High School Students.

걷기운동의 강도가 중년여성의 피로, 혈중지질, 면역기능에 미치는 영향 (Effects of Walking Exercise Intensities on Fatigue, Serum Lipids and Immune Function among Middle-Aged Women)

  • 이정인
    • 대한간호학회지
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    • 제36권1호
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    • pp.94-102
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    • 2006
  • Purpose: The purpose of this study was to confirm the effects of a moderate and fast walking exercise program on middle-aged women's fatigue, serum lipids and immunoglobulins. Method: A non-equivalent control group pretest-posttest design was used for this study. The experiment was conducted for 10 weeks from May 17th to July 25th, 2004 with 44 middle-aged women, consisting of 16 for the moderate walking group, 15 for the fast walking group and 13 for the control group. Result: Walking exercise at both a moderate and fast speed was effective in middle-aged women in reducing fatigue and serum lipids. It was also revealed that extended periods of exercise was more effective in decreasing fatigue while for reducing serum lipid, high intensity exercise was more effective. In this study, serum immunoglobulins were reduced after moderate and fast walking exercise but its cause was not fully understood so further research is needed. Conclusion: This study helps us recognize the importance of regular exercise and promotes motivation to exercise for a healthy life among middle-aged women.

걷기운동이 폐경기 비만여성의 심혈관계 위험요소와 사회심리적 결과에 미치는 효과 (Effects of Walking on Cardiovascular Risk Factors and Psychosocial Outcomes in Postmenopausal Obese Women)

  • 안숙희
    • 대한간호학회지
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    • 제37권4호
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    • pp.519-528
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    • 2007
  • Purpose: The purpose of this study was to examine the effect of a moderate-intensity, walking exercise program on the body composition, blood lipids and psychosocial outcomes in postmenopausal obese women. Methods: With a quasi-experimental pre- and post-test design, a total of 36 postmenopausal obese women was recruited in 2 metropolitan areas by convenience sampling. Sixteen women participated in 1 hour of moderate-intensity walking exercise 5 days per week for 3 months and 20 women did not. Cardiovascular risk factors include body composition and blood lipids. Body composition was measured as body mass index, % body fat, and waist/hip ratio; Blood lipids were measured with total cholesterol, triglyceride, HDL and LDL; psychosocial outcomes were evaluated by self-esteem and depression. Results: Over 3 months, the score of self-esteem increased and depression decreased in the exercise group relative to the control group. However, there were no significant differences in body composition and blood lipids. Conclusions: This study suggests that 3 months of moderate-intensity exercise training can improve psychosocial outcomes but further studies are needed to replicate walking exercise on physiologic variables among postmenopausal obese women. These findings are of public health relevance and add a new facet to the growing literature on the health benefits of moderate exercise.

신체활동이 당뇨병 유병률에 미치는 영향: 성인 남성을 중심으로 (Influence of Physical Activity on the Prevalence of Diabetes Mellitus in Korean Male Adults)

  • 반지현;양영란
    • 한국보건간호학회지
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    • 제34권1호
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    • pp.35-47
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    • 2020
  • Objectives: This study investigated the effect of physical activity of adult Korean males on the prevalence of diabetes mellitus. Methods: This cross-sectional study used the raw data from the 2017 Community Health Survey. The subjects of this study were 74,494 men aged 19-64 years old. The data was analyzed applying the complex sampling design and using SPSS 23.0 Program. Descriptive statistics, Rao-Scott Chi-square tests and multiple logistic regression analysis were all performed. Results: The prevalence of diabetes mellitus was 6.4%. The walking activity was 58.5% and the over moderate intensity physical activity was 27.5%. After adjusting for age, marital status, educational level, household monthly income, drinking and smoking status, and BMI, those subjects without moderate intensity physical activity had a 1.14 times higher prevalence of diabetes mellitus (95% CI = 1.05-1.24) than those men with moderate intensity physical activity. Conclusion: In order to decrease the prevalence of diabetes mellitus among adult men, regular physical activities over a moderate intensity level should be emphasized and encouraged in daily life.

Seismic fragility performance of skewed and curved bridges in low-to-moderate seismic region

  • Chen, Luke;Chen, Suren
    • Earthquakes and Structures
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    • 제10권4호
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    • pp.789-810
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    • 2016
  • Reinforced concrete (RC) bridges with both skew and curvature are pretty common in areas with complex terrains. Existing studies have shown skewed and/or curved bridges exhibit more complicated seismic performance than straight bridges, and yet related seismic risk studies are still rare. These bridges deserve more studies in low-to-moderate seismic regions than those in seismic-prone areas. This is because for bridges with irregular and complex geometric designs, comprehensive seismic analysis is not always required and little knowledge about actual seismic risks for these bridges in low-to-moderate regions is available. To provide more insightful understanding of the seismic risks and the impact from the geometric configurations, analytical fragility studies are carried out on four typical bridge designs with different geometric configurations (i.e., straight, curved, skewed, skewed and curved) in the mountain west region of the United States. The results show the curved and skewed geometries can considerably affect the bridge seismic fragility in a complex manner, underscoring the importance of conducting detailed seismic risk assessment of skewed and curved bridges in low-to-moderate seismic regions.

Low flow-low power 유도결합 플라즈마 원자방출 분광법에서의 분석적 특성에 관한 연구 (A Study on the Analytical Characterizations of the Low Flow-Low Power ICP-AES)

  • 양혜순;김영만;김선태;최범석
    • 분석과학
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    • 제7권3호
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    • pp.253-260
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    • 1994
  • Low power-low flow 유도결합 플라즈마 원자방출 분광법(ICP-AES)에서 분석적 특성에 대해 연구하였다. Low power ICP에서는 moderate power ICP보다 알짜세기는 감소하지만 바탕세기도 감소하여 알짜세기에 대한 바탕세기의 비는 오히려 증가하였다. Low power ICP에서도 작동조건에 따라 moderate power와 비슷한 검출한계를 얻을 수 있으며, 검량곡선도 $10^4{\sim}10^5$ 정도의 직선성을 가질 수 있었다. 알칼리 금속에 의한 이온화 방해영향은 시료운반기체의 사용량을 증가시킬수록 증가하지만, RF power의 변화에 대해서는 큰 차이가 없었다.

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한국 염장 발효식품으로부터 분리한 호염성 세균의 분리ㆍ동정 및 염요구성 (Identification and Salt Requirement of Halophilic Bacteria isolated from Korean Salt-Fermented Sen Foods.)

  • Bae, Moo;Song, Kyoung-Sook
    • 한국미생물·생명공학회지
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    • 제15권5호
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    • pp.301-305
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    • 1987
  • 염장 식품인 젓갈류 15종류에서 호염성 세균을 분리하여 그들이 성장할 수 있는 NaCl 농도에 따라, 5-10% NaCl에서 잘 자라는 18균수와 10-20% NaCl 에서 더욱 잘 자라는 35균주를 구분하여, 이들을 moderate halophiles로 분류하였다. 분리한 moderate halophiles중에는 Flavobacterium-group I과 II 그러고 Pseudomonas sp.에 속하는 균주들이 있으며 이들은 3$0^{\circ}C$에서 10% NaCl을 첨가했을 때 가장 잘 성장하였다. Na 이온 대신 K 이온을 대치시켰을 때 1.5M에서는 대치가 가능하였으나 그보다 높은 농도인 2.5M 내지 3.5M에서는 대치될 수 없음을 확인하였고 Na 이온 대신 Li 이온이나 mg 이온은 생장에 적합하지 않았다.

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An Empirical Study on Moderating Effects of Espoused National Cultural Values on Internet Community Stickiness

  • Kwon, Sun-Dong;Yang, Hee-Dong;Fang, Hualong;Ko, Mi-Hyun
    • Journal of Information Technology Applications and Management
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    • 제15권3호
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    • pp.169-194
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    • 2008
  • Recently, the concept of web site stickiness receives attention as a measure of strategy to influence user's visit and behavior on web sites. Web site stickiness means site visit frequency and stay duration. This study investigates the moderating effect of espoused national cultural values on Internet community stickiness with the assumption that dimensional values of national culture can be internalized as individual’s espoused values. Espoused values (i.e., espoused national cultural values) are defined as the degree to which an individual embraces the values of his or her national culture. Our findings can be summarized as follows. First, femininity and power distance moderate the influence of user participation on Internet community stickiness. Second, uncertainty avoidance and power distance moderates the effect of social influence on Internet community stickiness. However, femininity and collectivism do not moderate the effect of social influence on Internet community stickiness. Third, uncertainty avoidance, femininity, and collectivism moderate the influence of network effect on Internet community stickiness. Fourth, masculinity does not moderate the influence of usefulness on Internet community stickiness.

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Paternal Behaviors and Adolescents' Academic Motivation at Low, Moderate, and High Levels of Students' Achievement in Mainland China

  • Cho, Won Jee;Bush, Kevin R.;Xia, Yan;Wilson, Stephan M.;Li, Wenzhen;Peterson, Gary W.
    • Child Studies in Asia-Pacific Contexts
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    • 제4권2호
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    • pp.95-108
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    • 2014
  • The purpose of this study was to examine group differences in paternal behaviors (i.e., paternal connection, paternal punitiveness, and paternal knowledge) within and across three academic achievement levels-low, moderate, and high, and to explore the effects of paternal behaviors on the academic motivation of Chinese adolescents within these three achievement groups. Analyses of variance (ANOVAs) indicated that adolescents with low achievement perceived their fathers as more punitive than teens with moderate and high academic achievement. Regression analyses also revealed that paternal punitiveness (negative) and paternal knowledge (positive) were significant predictors of academic motivation for teens with low levels of academic achievement; while paternal punitiveness was a significant negative predictor of academic motivation among adolescents with moderate achievement. In contrast, for adolescents with high achievement, paternal connection was a positive significant predictor of academic motivation. The present findings provide some evidence that the impact of parental behaviors on teen's motivation varies across adolescent academic achievement levels, which may prove useful for professionals working with fathers to help target the most effective parenting behaviors to foster academic motivation.