• Title/Summary/Keyword: Paired Comparison

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Comparison of the Effects of Different Foot Positions During Body-lifting in Wheelchair on Shoulder Muscle Activities, Peak Plantar Pressure, Knee Flexion Angle, and Rating Perceived Exertion in Individuals With Spinal Cord Injury (휠체어에서 엉덩이 들기 동작 동안 발위치가 척수손상환자의 어깨 근활성도, 최대 족저압, 무릎굽힘 각도, 운동자각도에 미치는 효과 비교)

  • Lee, Wang-jae;Lim, One-bin;Yoon, Byoung-gu;Lee, Bum-suk;Yi, Chung-hwi
    • Physical Therapy Korea
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    • v.24 no.2
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    • pp.1-8
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    • 2017
  • Background: Individuals with spinal cord injury (SCI) rely on their upper limbs for body-lifting activity (BLA). While studies have examined the electromyography (EMG) and kinematics of the shoulder joints during BLA, no studies have considered foot position during BLA. Objects: This study compared the effects of different foot positions during BLA on the shoulder muscle activities, peak plantar pressure, knee flexion angle, and rating perceived exertion in individuals with SCI. Methods: The study enrolled 13 mens with motor-complete paraplegic SCI, ASIA (American Spinal Injury Association) A or B. All subjects performed BLA with the feet positioned on the wheelchair footrest and on the floor independently. Surface EMG was used to collect data from the latissimus dorsi, pectoralis major, serratus anterior, and triceps brachii. The peak plantar pressure was measured using pedar-X and the knee flexion angle with Image J. Borg's rating perceived exertion scale was used to measure the physical activity intensity level. The paired t-test was used to compare the shoulder muscle activities, peak plantar pressure, knee flexion angle, and rating perceived exertion between the two feet positions during BLA. Results: The activity of the latissimus dorsi, pectoralis major, serratus anterior, and triceps brachii and rating perceived exertion decreased significantly and the peak plantar pressure and knee flexion angle increased significantly when performing BLA with the feet positioned on the wheelchair footrest compared with on the floor (p<.05). Conclusion: These findings suggest that individuals with SCI may perform BLA with the feet positioned on the wheelchair footrest for weight-relief lifting to decrease the shoulder muscle activities and the rating perceived exertion and to increase the peak plantar pressure and the knee flexion angle.

The Influence of 'Healthy Couple Relationship' Education on the Relationship Formation Competencies and Marriage Values of High School Students ('건강한 커플관계' 교육이 고등학생의 관계형성능력과 결혼 가치관에 미치는 영향)

  • Yu, In-Young;Park, Mi-Jeong
    • Journal of Korean Home Economics Education Association
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    • v.31 no.4
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    • pp.129-147
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    • 2019
  • This study aimed at exploring the influence of 'Healthy couple relationship' education on the relationship formation competencies and marriage values of high school students. To achieve the research objective, the 'Healthy couple relationship' lesson plan developed by the author was executed in two high schools for eight weeks from September 1 to November 3, 2018 from which the effects were analyzed. The results are as follows. First, the 'healthy couple relationship' education for high school students has been effective in improving their relationship performance, which is a part of the home economics curriculum. In S high school, the paired t-test of pre-/post-test comparison results showed statistically significant differences in the areas of 'communication', 'conflict resolution' and 'relationship formation performance'. For Sejong City campus-type joint curriculum group, where Wilcoxson signed-rank test was applied due to small sample size, showed that the overall scores as well as all the subsections of 'relationship formation performance' (i.e., 'communication', 'self-understanding', 'conflict resolution', and 'empathy') have improved, although not statistically significant. Second, the 'Healthy couple relationship' education for high school students had positive effects on the marriage values of high school students. In S high school, students' perception of marriage values rendered a statistically significant positive change, while in campus-type joint curriculum in Sejong City, no statistical significance was detected. In conclusion, the 'Healthy couple relationship' education can help high school students build positive values by cultivating their 'relationship formation competence', which is a part of the competencies listed in home economics curriculum, and also broaden their understanding of marriage, by acquiring knowledge and skills to build healthy couple relationships, and learning to implement the knowledge and skills in their own lives.

Sound quality metrics to express the discomfort of overload excavator noise during operation (과부하 굴삭기 소음의 불쾌감 표현인자)

  • Sim, Sangdeok;Song, Ohseop
    • The Journal of the Acoustical Society of Korea
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    • v.37 no.3
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    • pp.147-155
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    • 2018
  • In this paper, we tried to find out sound quality metrics to express discomfort of overload excavator noise and to develop sound quality indexes through multiple regression analysis by using them. For this purpose, the interior noise of cabin under overload condition was recorded for six excavator models with different noise properties and Jury test was carried out by PCM (Paired Comparison Method) and MEM (Magnitude Estimation Method). Jury test result with low consistency was classified into two groups with different preference tendencies by cluster analysis and multiple regression analysis was conducted in order to find out which sound quality metrics have significant effects on discomfort(low preference). As a result, we figured out that the sound quality metrics to express the discomfort were the partial loudness (= $PN_{10Bark}$) between 0 and 10 Bark in case of group1 and the difference between engine noise(= $dB_{EG}$) and hydraulic system noise ($dB_1$) in case of group2. Using the results of preference ranking and tendency analysis of PCM followed by the correlation analysis between PCM and MEM, the more reliable results were adopted by excluding the data with low consistency obtained from Jury test via MEM.

The Difference of Efficacy for Oral Hypoglysemic Pharmacotherapy Based on Sasang Constitutional Medicine Among Type II Diabetes Mellitus Patients in Korea (제 2형 당뇨병 환자에서 사상체질에 따른 경구 혈당강하요법의 치료 반응성 및 사용 패턴 평가)

  • Kim, Ji Yeon;Lee, Myung Koo;Kim, Jung Tae;Lim, Sung Cil
    • YAKHAK HOEJI
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    • v.58 no.1
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    • pp.71-79
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    • 2014
  • Although Korean patients with type 2 diabetes mellitus (T2DM) are generally treated by western medicine, many of them strongly believe in the traditional oriental Sasang constitutional classification and depend on it for food, health supplements, and oriental medicines decision making. Sasang constitutional classification is a part of traditional Korean medicine that divides people into four constitutional types (Tae-Yang: TY, Tae-Eum: TE, So-Yang: SY, and So-Eum: SE), which differ in inherited characteristics such as appearance, personality traits, susceptibility to diseases, and drug responses. It is recommended for T2DM patients to control their blood glucose very well from early stages with drugs and diet. However, many T2DM patients respond differently to their drugs, even though they receive the same medicine. Therefore, the present study investigated whether Sasang constitutional type can explain the therapeutic differences between oral hypoglycemic agents (OHAs) therapy (mono, dual and triple drug therapy). Patients of 618 with T2DM diagnosis and Sasang constitutional type known who received both western and oriental medicine treatment in a hospital between April 2006 and April 2013 retrospectively studied. HbA1c (%) and blood glucose (mg/dl) levels before OHAs therapy and 3 month after were collected for metformin (MET) or sulfonylurea (SU) monotherapy, MET+SU dual therapy, MET+except SU (where was either alpha-glucosidase inhibitor, dipeptidyl peptidase-4 inhibitor, meglitinide or thiazolidinedione) dual therapy, and triple therapy, according to Sasang constitutional type. For statistical analysis, ANOVA was used and paired t-test by SPSS 19.0 where P values less than 0.05 were considered statistically significant. Pattern was similar levels of HbA1c and blood glucose and which was decreased in order of mono, MET+SU dual, MET+except SU dual and triple therapy. In all patients comparison, for the So-yang (SY) constitutional type, either monotherapy was less effective; for Te-eum (TE) type, MET+SU dual therapy was less effective while MET+except SU dual therapy was more effective and the triple therapy was less effective; and for So-eum (SE) type, the triple therapy was more effective. For the management of TE type it is recommended to use drugs except SU when dual therapy is needed, restrict triple therapy and consider dual and insulin therapy; for SY type it is recommended to follow current guidelines; and for SE type it is advisable to skip dual therapy and start the triple therapy early. Finally, the therapeutic response to OHAs is different among Korean T2DM patients with different Sasang constitutional types. Taken together, the choice of effective OHAs therapy for each type is necessary in order to minimize the poor control of blood glucose level, the risk of complications, and the costs from a failure of therapy.

The Effects of MBTI based Self Growth Program on Ego Identity, Self Efficacy and Interpersonal Relations Ability in Nursing Students (MBTI 자기성장프로그램이 간호대학생의 자아정체감, 자기효능감 및 대인관계능력에 미치는 효과)

  • Kim, Myeong-Hwa
    • Journal of Korean Academy of Nursing Administration
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    • v.12 no.2
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    • pp.233-246
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    • 2006
  • Purpose: The purpose of this study was to examine whether a MBTI based self growth program had any effect on improving the ego identity, self efficacy, interpersonal relations ability and adjustment of nursing students. Method: The subjects in this study were 56 juniors who were majoring in nursing science at H and S college in Chungnam province. At each college, an experimental group and a control group were organized with 26 and 30 students respectively, and the data were gathered at H college from April 6 through May 14, 2004, and at S college from May 31 through July 3, 2004. A MBTI based self growth program was conducted 10 times for five weeks, twice a week and for 120 minutes each. And the ego identity, self efficacy, interpersonal relations ability and adjustment of the selected students were measured and compared to see if that program has any effect on above variables. For data handling, SAS 8.0 program was employed. Fisher's exact test and unpaired t-test were used to confirm whether or not the experimental and control groups were equivalent. Before the experiment, their ego identity, self efficacy, interpersonal relations ability and adjustment were tested by one-way ANOVA and Scheffe's multiple comparison in consideration of their general characteristics, and paired t-test and ANCOVA were utilized to see if that program brought any changes to their ego identity, self efficacy, interpersonal relations ability and adjustments. Result: The findings of the study were as follows; After the MBTI based self growth program was applied, the experimental groups made a significant progress in ego identity than the control groups. And the experimental groups underwent a significantly change in ego identity after the experiment, compared to the control groups. The experimental groups showed a significant improvement in self efficacy than the control group, and the experimental groups showed significant change in self efficacy than the control groups after the experiment. The experimental group showed a significant progress in interpersonal relations ability than the control group did, and the former groups underwent significant change in that regard than the control groups after the experiment. There was no difference in adjustment between the experimental and control groups. The experimental groups showed significant change in adjustment than the control groups after the experiment, but the difference was insignificant. After this program was implemented, the students underwent changes in self understanding, self accepting, understanding others and accepting others. They also had more confidence and more positive self images, and they were better able to tide over difficulties with others. Conclusion: The results of this study suggested that the MBTI based self growth program might serve to enhance the ego identity, self efficacy and interpersonal relations ability of the nursing students and brought inner changes to them. Therefore, the MBTI based self growth program was expected to make a great contribution to the character building of nurses.

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The Comparison of Sleep Characteristics According to the Sleep Positions in Healthy Newborns (정상 신생아의 체위에 따른 수면양상 및 행동변화 비교)

  • Lee Ae Ran;Ahn Hae Young;Lee Jong Soon
    • Child Health Nursing Research
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    • v.5 no.3
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    • pp.281-291
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    • 1999
  • The purpose of this study was to compare the sleep characteristics between the prone and the supine position in healthy newborns. The 48 newborns were observed in the prone position and the supine position respectively on the 2nd day after birth. The data were collected from January to May, 1999. The state of a newborn was classified and categorized to 6 states (deep sleep. light sleep, drowsy, quiet alert, active alert, crying) by Barnard. The movements of eyes, face and extremities, pulse and arterial oxygen were observed and recorded continuously from the start of sleep after feeding until the time of being woken for the next feeding by a trained nurse The data was analyzed by using paired t-test. The results of this study were as follows; 1. There was no significant difference in the length of sleeping time between the prone and the supine position. 2. There was no significant difference in the length and frequencies of each states(deep sleep, light sleep, drowsy, quiet alert, active alert, crying) between the prone and the supine position But the frequency of light sleep in the supine position was significantly higher than that of the prone position. 3 There was no significant difference In the numbers or eyes movements between the prone and the supine sleep position. But the amount of facial and extremity movement in the supine position was significantly higher than those in the prone position 4. There was no significant difference in the arterial oxygen content between the prone and the supine sleep position. 5. There was no significant difference in the heart rates between the prone and the supine sleep position. The above results indicated that the newborns in the prone Position moved less and slept deeper than those in the supine position. though there was no difference in the length of sleep or arterial oxygen content between the prone and the supine sleep Position. But. Nurses and mothers should consider the relationship between the sleep Position and SIDS suggested by previous researches. The infant's 'awakening' during sleep is a normal process and rather valuable because it can provide an opportunity to promote a stronger relationship between mother and baby. So, It is suggested that the supine sleep position is better than the prone sleep position for infants.

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A Study on Hierarchy Analysis of Design Factors for Product Development Process (신제품 개발과정에 있어서의 디자인요소 분석을 통한 계층화 연구)

  • 곽대영
    • Archives of design research
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    • v.17 no.1
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    • pp.163-178
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    • 2004
  • In this study, in order to achieve the before-mentioned study purpose, the importance of developing the new product, the relationship with the design, and the design element for developing the new product were considered. In order to extract the importance of the design element which is applied to the development of the new product design, the research model about the induction of the priority was created, the evaluation items were instituted, and the demonstrative research approach was performed in order to recognize the relationship among those elements. Firstly, in the process of selecting the items for the application, 14 evaluation elements which were extracted through the advanced study data were grouped in 4 kinds of dimensions, and the properties which are related with the Digital TV product were composed up of 36 items. Through the factor analysis, by decreasing the detailed standard for the evaluation of 36 items, the parsimony was secured, and the characteristics which the various items contain induced into one factor. Secondly, the detailed factors which were united into one factor went under the paired comparison as one by one through AHP again, and then the importance degree was generated. First of all, as the first stage of AHP, the decision making factors which affect the whole achievement of purpose of the decision making were classified as in a hierarchical style. From these research results, it was known that the functional factor and esthetic factor in the process of designing the new product are the major affecting variables, and it was confirmed that in case of the Digital TV products group, the factors such as the high quality of picture, big screen, user interface, sound, product reliability, style, size, indoor reproduction, and guarantee are the main factors which influence the need of the consumers in purchasing products.

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A Study on the Ratio Analysis as a Tool for Evaluating Financial Performance (병원재정 평가를 위한 비율분석에 관한 연구)

  • Chae, Young-Moon;Yun, Jung-Hyun;Lee, Hae-Jong
    • Journal of Preventive Medicine and Public Health
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    • v.19 no.2 s.20
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    • pp.213-223
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    • 1986
  • Ratio analysis allows a hospital to evaluate its own performance over time and to compare its performance with that of other hospitals. For this study, three types of ratio analysis were conducted based on some data on hospitals in Massachusetts. First, Key ratios influencing financial performance were identified using discriminant analysis. Second, the financial structures of the teaching and the non-teaching hospitals were compared using ratios and multiple comparison method. Third, the effects of the prospective reimbursement law of the state on financial performance were examined using ratios and paired t-test. The purpose of the law is to reduce hospital costs by setting the revenue ceiling prior to the effective budget year. The findings of this study were as follows: 1) When hospitals were divided into three groups, according to their operating income, only profitability ratios showed a consistent difference among the groups. 2) In the discriminant analysis, five ratios were selected: current ratio, operating margin, return on assets, fixed assets turnover, and inventory turnover. They are the key ratios to be monitored periodically for the purpose of evaluating the financial performance of hospitals. 3) When teaching hospitals were compared with non-teaching hospitals, acid ratio, days of cash on hand, and inventory turnover were statistically significant before the law went into effect, whereas only fixed assets turnover and inventory turnover were significant afterward. Contrary to previous studies, profitability ratios of teaching hospitals were higher than those of non-teaching hospitals, although the differences were not statistically significant. 4) When the ratios between the two periods (before and after the law) were compared, three profitability ratios (operating margin, return on assets, and return on equity) were significant for teaching hospitals, whereas three activity ratios (total assets turnover, fixed assets turnover, current assets turnover) were significant for non-teaching hospitals. Furthermore, while both total operating revenue and expenses were decreased, net operating income was increased, due to a greater decrease in total operating expenses. This shows that the law can indeed, simultaneously, achieve both a reduction in costs as well as an improvement in the financial situation of hospitals.

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Properties of Acid Tolerance of the Adipic acid-resistant Mutant of Leuconostoc paramesenteroides (Adipic acid 저항성 변이주 Leuconostoc paramesenteroides의 내산성 특성)

  • Lee, Joong-Keun;Lee, Hong-Seok;Kim, Young-Chan;Joo, Hyun-Kyu;Lee, Si-Kyung;Kang, Sang-Mo
    • Korean Journal of Food Science and Technology
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    • v.32 no.2
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    • pp.431-438
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    • 2000
  • Properties of acid tolerance of an adipic acid-resistant mutant, Leuconostoc paramesenteroides (ANaP100) were studied and compared with those of its paired wild type of Leu. paramesenteroides (LPw). The value of protons permeability of LPw after an acid shock at pH 5.0 was 4.3 min, while the value of ANaP100 was 4.8 min at the same pH. The maximal specific activities of ATPase of LPw and ANaP100 were 0.59 unit/mg protein and 0.63 unit/mg protein at pH 6.0, respectively. The release of magnesium ion from the mutant strain was about 27.3% at pH 4 after 2 hrs, while the wild strain was about 52.2% under the same conditions. The contents of $C_{19:0,cyclo}$ and $C_{18:1}$ in a membrane fatty acid of ANaP100 and LPw were higher and lower, respectively, than that of LPw. These results indicated that acid tolerance of ANaP100 was improved in comparison with that of its wild type, LPw.

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Estimation of Total Precipitable Water from MODIS Infrared Measurements over East Asia (MODIS 적외 자료를 이용한 동아시아 지역의 총가강수량 산출)

  • Park, Ho-Sun;Sohn, Byung-Ju;Chung, Eui-Seok
    • Korean Journal of Remote Sensing
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    • v.24 no.4
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    • pp.309-324
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    • 2008
  • In this study the retrieval algorithms have been developed to retrieve total precipitable water (TPW) from Terra/Aqua Moderate Resolution Imaging Spectroradiometer (MODIS) infrared measurements using a physical iterative retrieval method and a split-window technique over East Asia. Retrieved results from these algorithms were validated against Defense Meteorological Satellite Program (DMSP) Special Sensor Microwave/Imager (SSM/I) over ocean and radiosonde observation over land and were analyzed for investigating the key factors affecting the accuracy of results and physical processes of retrieval methods. Atmospheric profiles from Regional Data Assimilation and Prediction System (RDAPS), which produces analysis and prediction field of atmospheric variables over East Asia, were used as first-guess profiles for the physical retrieval algorithm. We used RTTOV-7 radiative transfer model to calculate the upwelling radiance at the top of the atmosphere. For the split-window technique, regression coefficients were obtained by relating the calculated brightness temperature to the paired radiosonde-estimated TPW. Physically retrieved TPWs were validated against SSM/I and radiosonde observations for 14 cases in August and December 2004 and results showed that the physical method improves the accuracy of TPW with smaller bias in comparison to TPWs of RDAPS data, MODIS products, and TPWs from split-window technique. Although physical iterative retrieval can reduce the bias of first-guess profiles and bring in more accurate TPWs, the retrieved results show the dependency upon initial guess fields. It is thought that the dependency is due to the fact that the water vapor absorption channels used in this study may not reflect moisture features in particular near surface.