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검색결과 586건 처리시간 0.025초

요통 치료를 위한 경막외강내 스테로이드 투여의 장기 효과 (Therapeutic Duration of Epidural Steroid for Low Back Pain)

  • 최훈;황정한;이준례;김윤희;한영진
    • The Korean Journal of Pain
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    • 제11권2호
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    • pp.210-213
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    • 1998
  • Background: Epidural steroid therapy has been well-established for the treatment of sciatica and low back pain. Disappointing results following surgical decompression or discectomy have led to wide trials of corticosteroids injected either systemically or into the intraspinally. Although epidural steroid is known to be very effective in the treatment of the patients with low back pain, few data showed the therapeutic duration of epidural steroid. Methods: We studied 120 patients who were treated with epidural steroid for the treatment of low back pain or sciatica or both. We retrospectively analysed the duration of analgesia, number of injections per each session, and complications. Results: The duration of analgesia ranged from 17 days to 300 days, and the mean duration was $73.7{\pm}70.5$ (SD) days. The mean number of injections per each session was $1.8{\pm}1.3$ (range: 1 to 12). There were no significant complications with epidural steroid injections. Conclusions: One to three epidural steroid injections at one week interval leads more than two months of pain relief without significant complications.

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Pelvic Floor Muscle Exercise by Biofeedback and Electrical Stimulation to Reinforce the Pelvic Floor Muscle after Normal Delivery

  • Lee, In-Sook;Choi, Euy-Soon
    • 대한간호학회지
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    • 제36권8호
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    • pp.1374-1380
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    • 2006
  • Purpose. This study was conducted to investigate the effectiveness of pelvic floor muscle exercise using biofeedback and electrical stimulation after normal delivery. Methods. The subjects of this study were 49 (experimental group: 25, control group: 24) postpartum women who passed 6 weeks after normal delivery without complication of pregnancy, delivery and postpartum. The experimental group was applied to the pelvic muscle enforcement program by biofeedback and electrical stimulation for 30 minutes per session, twice a week for 6 weeks, after then self-exercise of pelvic floor muscle was done 50-60 repetition per session, 3 times a day for 6 weeks. Maximum pressure of pelvic floor muscle contraction (MPPFMC), average pressure of pelvic floor muscle contraction (APPFMC), duration time of pelvic floor muscle contraction (DTPFMC) and the subjective lower urinary symptoms were measured by digital perineometer and Bristol Female Urinary Symptom Questionnaire and compared between two groups prior to trial, at the end of treatment and 6 weeks after treatment. Results. The results of this study indicated that MPPFMC, APPFMC, DTPFMC were significantly increased and subjective lower urinary symptoms were significantly decreased after treatment in the experimental group than in the control group. Conclusions. This study suggested that the pelvic floor muscle exercise using biofeedback and electrical stimulation might be a safer and more effective program for reinforcing pelvic floor muscle after normal delivery.

결혼이주여성에게 적용한 중재 프로그램의 효과성에 대한 메타분석 (Meta-analysis about the Effectiveness of Intervention Programs for Married Immigrant Women)

  • 이미옥;김신향
    • 여성건강간호학회지
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    • 제21권4호
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    • pp.342-354
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    • 2015
  • Purpose: The purpose of this study was to test the effect size of intervention programs for married immigrant women as well as to suggest the basic data for health care practices for married migrant women. Methods: Meta-analysis was conducted with 27 articles from domestic Korea master's and doctorate degree dissertations and Korea academic journals from 2007 to 2014. Results: Overall average effect size was 1.17 and 'parental education' of Intervention Variables was the biggest effect size. Intervention Variables were also identified to be the most desirable in cases when total sessions were applied with 10-18 sessions, 1 session per week, 90-120 minutes per session activity time and with less than 10 subjects in group size. Regarding effect variables, psychological variable group was identified to show the biggest effect size and in sub-variables, self-efficacy was identified to show the biggest effect size. Conclusion: If intervention programs for married immigrant women is expanded and conducted based on the results of this study, the program would have significant affect psychological, social and physical health of the married migrant women who currently occupy the important status in our society.

Repetitive Transcranial Magnetic Stimulation Combined with Task Oriented Training to Improve Upper Extremity Function After Stroke

  • Kim, Myoung-Kwon
    • Journal of Magnetics
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    • 제19권2호
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    • pp.170-173
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    • 2014
  • The purpose of the present study was to investigate the effect of repetitive transcranial magnetic stimulation (rTMS) in conjunction with task oriented training, on cortical excitability and upper extremity function recovery in stroke patients. This study was conducted with 31 subjects who were diagnosed as a hemiparesis by stroke. Participants in the experimental (16 members) and control groups (15 members) received rTMS and sham rTMS, respectively, during a 10 minutes session, five days per week for four weeks, followed by task oriented training during a 30 minutes session, five days per week for four weeks. Motor cortex excitability was performed by motor evoked potential and upper limb function was evaluated by motor function test. Both groups showed a significant increment in motor function test and amplitude, latency in motor evoked potential compared to pre-intervention (p < 0.05). A significant difference in post-training gains for the motor function test, amplitude in motor evoked potential was observed between the experimental group and the control group (p < 0.05). The findings of the current study demonstrated that incorporating rTMS in task oriented training may be beneficial in improving the effects of stroke on upper extremity function recovery.

튀김과정에서의 변성유생성에 관한 연구 (A Study on the process of the rancidity of frying oil)

  • 고영수
    • 대한가정학회지
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    • 제24권4호
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    • pp.75-84
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    • 1986
  • The followings are the results of the study on decomposition of oil during the process of frying hot-dogs with soybean oil. First, the oil was heated repeatedly for six days, four hours two session per day. Then the oil was observed when heated under identical condition except for the exclusion of the frying ingredients. And the oil itself was heated constantly for a period of 48 hours. 1. The AV and Carbonyl Value of all frying oils increased with each use (but the oil in which frying ingredients with all other oils) 2. All frying oils showed a tendency to increase initially, then decrease their POV and TBA Number during their heating process. 3. The IV of all oils showed a slight decrease except for oil with frying ingredients added, with showed a substantial decrease. 4. Oil with frying ingredients showed a substantial increase in its oxidized fatty acid level, and others showed a tendency to increase according to the frying time. Decomposition of soybe an oil during the process of frying hot-dogs was studied. Three treatment was performed first, the oil was heated (with hot-dogs) repeatedly four hours in each session, two sessions per day for six days. Second, the oil was heated without hot-dogs under identical condition, Third, the oil was heated constantly for 48 hours.

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진로탐색 프로그램이 마이스터고 학생의 진로성숙과정에 미치는 영향에 관한 사례연구 (A Case Study on the Impact of a Career Exploration Program on the Career Maturation Process of a Student at a Meister High School)

  • 강남숙;정민자
    • Human Ecology Research
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    • 제60권4호
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    • pp.577-593
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    • 2022
  • The purpose of this study is to investigate a student's career maturity during a career exploration program based on the ecological system perspective and to propose directions for the career maturation process to help H. Meister High School students to get jobs. A single-case 12-session career exploration program was applied to a first-year student at H. Meister High School in U. City for 90 minutes per session twice a week. To verify the effects of the program, this study conducted a pre-test and post-test of career maturity to analyze changes. In addition, the study qualitatively analyzed changes in the program activity sheets and process evaluation sheets per session. The results of the study are as follows: Firstly, the career exploration program based on the ecological system perspective conducted with the student at H. Meister High School improved the student's career maturity. Secondly, changes were observed in the scores in the sub-factors of career maturity between the pre-test and the post-test. Significant differences in the results of the analysis of the sub-factors of career maturity indicate that the program had a statistically positive impact on the career maturation process of the participant. In conclusion, as a result of the in-depth implementation of the program for 12 sessions, the participant expressed his desires which were clarified. In addition, a positive career maturation process appears to have taken place, owing to the self-directed program that led the participant to initiate plans and explore his career by himself. This study was conducted as a single case based on the ecological system perspective concerning career exploration and the career maturation process, but it will be necessary to expand the study to investigate the effects of group counseling, information exchange considering peer influences, common discussions on goal-setting, and other methods on the career maturation process.

낙상예방 프로그램이 양로원 여성노인의 보행, 균형 및 근력에 미치는 영향 (Effect of the Fall Prevention Program(EPP) on gait, balance and muscle strength in elderly women at a nursing home)

  • 전미양;최명애
    • Journal of Korean Biological Nursing Science
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    • 제4권1호
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    • pp.5-23
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    • 2002
  • Purpose: To determine the effect of the Fall Prevention Program(EPP) on gait, balance and muscle strength in elderly women at a nursing home. Method: The subjects of this consisted of 38 elderly women between the ages of 70 to 89 years living at a nursing home located in Seoul. Each of the experimental group and control group was composed of 19 subjects. The subjects in experimental group have participated in FPP for the 8 weeks which consisted of exercise, education and foot care. They started to exercise for 40 minutes per session, 3 sessions a week during the 1st week at 40% of age adjusted maximum heart rate. From the 2nd week to the 4th week, they increased the duration of exercise to 50 minutes per session and the intensity to 60% of age-adjusted maximum heart rate. They participated in 50 minutes at 60% of age-adjusted maximum heart rate from the 5th week to the 8th week. Each exercise session consisted of 10 minutes of warming-up exercise, 30 minutes of conditioning exercise and 10 minutes of cooling-down exercise. They participated in education for 20 minutes per week from the 1st week to the 4th week. Then they participated in a 30-minute foot care program per week from the 5th week to the 8th week. Gait, balance and muscle strength for each subject were measured before and after FPP. Gait was evaluated by step length, step width, gait speed and walking distance. Balance was measured by the duration of standing on one leg with their eyes closed and open each, and a get-up and go test. Grip strength was measured by hand dynamometer. Hip extensor and flexor strength, knee extensor and flexor strength and ankle plantarflexor and dorsiflexor strength were measured by manual muscle tester. Data was analyzed using SPSS form Windows. t-test and Chi square test were utilized as a homogeneity test. Repeated measure ANOVA was used to test the effect of FPP. Result: 1) Step width significantly decreased, and step length, gait speed and walking distance significantly increased in the experimental group compared with the control group after FPP(p<0.005). 2) There was no significant change in standing time on one leg with their eyes closed after FPP. The standing time on leg with their eyes open and the time of "get-up and go" significantly decreased in the experimental group compared with the control group after FPP(p<0.005). 3) Muscle strength-grip strength, hip extensor and flexor strength-significantly increased in the experimental group compared with the control group after FPP(p<0.005). 4) There was no significant difference of frequency of fall between the experimental group and control group during the period of FPP. Conclusion: These results suggest that FPP can increase gait, balance and muscle strength of elderly women at a nursing home.

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신체활동 프로그램 참여가 장애아동의 이동운동능력에 미치는 효과: 메타분석 (A Meta-Analysis on Improvement in Locomotor Skills of Children with Disabilities by Physical Activity Programs)

  • 한범석;이태희;전혜자
    • 재활복지
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    • 제20권3호
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    • pp.83-104
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    • 2016
  • 본 연구의 목적은 신체활동 프로그램 참여가 장애아동의 이동운동능력에 미치는 효과를 보고한 선행연구들을 메타분석을 통해 종합하고 일반화가 가능한 결론을 제시하는 것이다. 연구방법은 2004년 1월 1일부터 2015년 12월 31일사이의 선행연구 중에서 '대근육운동능력', '이동운동능력', 'TGMD'를 키워드로 검색하였다. 선정기준에 부합되는 24편 논문의 장애아동 518명을 대상으로 CMA3를 사용하여 분석하였다. 이동운동능력의 전체 평균효과크기, 장애아동의 성별, 연령, 장애유형, 프로그램 시간, 빈도, 기간에 따른 효과크기와 달리기(run), 겔롭(gallop), 홉(hop), 립(leap), 제자리멀리뛰기(horizontal jump), 슬라이드(slide)의 효과크기를 계산하였다. 연구의 질적 검증을 위해 출판편향(publication bias)검증과 이탈치(outlier)를 확인하였고 연속형 변인은 메타회귀 분석을 실시하였다. 연구결과는 신체활동 프로그램 참여를 통한 이동운동능력에서 1.143의 큰 효과크기가 나타났고 장애유형 중 자폐 스팩트럼이 1.697의 큰 효과크기가 나타났으며 이동운동능력의 6가지 하위변인 중 달리기의 효과크기가 1.019로 크게 나타났다. 연령별 결과에서 8~10세가 0.920의 큰 효과 크기를 나타냈으며 신체활동 프로그램은 1회당 100~120분(1.261), 주 3회(1.078), 16~20주(1.587)에서 큰 효과크기가 나타났다. 따라서 신체활동 프로그램은 장애아동의 이동운동능력 향상에 매우 효과적이다.

SPIT 차단을 위한 예측 평판도 기법에 대한 연구 (A Study on Prediction Reputation System for Prevention of SPIT)

  • 배광용;이재은;김영범
    • 전자공학회논문지
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    • 제50권2호
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    • pp.152-160
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    • 2013
  • 본 논문에서는 실시간 동작 환경인 VoIP에 적용 가능한 스팸 대응 기법으로서 예측 평판도 시스템을 제안한다. VoIP 스탬을 차단하기 위한 연구가 다양하게 진행되고 있지만, VoIP 스팸 대응을 위한 기존 기법들은 사용자의 직접적인 개입으로 인한 사용자 불편성, 실시간 동작으로 인한 세션 설립 시간 지연 및 시스템 과부하 등과 같은 문제가 있다. 제안 기법은 발신자의 세션 설립 주기와 수신자의 통화시간을 기준으로 통계적 방법을 이용하여 평판도를 계산하는 시스템이다. 제안 기법은 사용자의 직접적인 개입이 없기 때문에 사용자의 불편성 문제를 해결할 수 있으며, 실시간 동작을 요구하지 않고 세션 설립 전에 통계적 방법으로 발신자의 평판도를 계산하기 때문에 실시간 동작 환경인 VoIP에서 효과적으로 SPIT에 대응할 수 있다.

가족관계 증진 프로그램 개발 및 효과검증 - 경기지역 농촌여성을 대상으로 - (Development and Evaluation of the Family Relations Enhancement Program - Applied to Rural Women in Gyeonggi do -)

  • 최규련
    • 한국지역사회생활과학회지
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    • 제17권2호
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    • pp.31-48
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    • 2006
  • The purpose of this study is to develop and evaluate the program which aims at providing a better understanding of family role, establishing a desirable value of being good spouse and good parent, and good daughter/mother in-law and determine effects of the program on rural women in Gyeonggi do. Based on the strong & healthy family perspective, personality types theory, coping stress theory, anger control method, communication & conflict solution theory(eg; Minnesota Couple Communication Program), cognitive behavior theory, and relations enrichment theory, 6 session program was developed. The title of 6 sessions were 'Making happy family', 'Family communication', 'Coping parent-child relation stress', 'Coping conjugal personality difference', 'Becoming a good mother/daughter in-law', and 'Dissolving family conflict'. 188 women surveyed were asked to participate in the program held at 5 city located in Gyeonggi do from Jun. 22 to July, 15. 2005, with two days(3 session a day and 120 minutes per session based). The effectiveness of this program was evaluated by pre-test, post test through 188 rural women and it was analyzed by paired t-test and program evaluation questionnaire was also investigated. The major results were as follows: This program was effective in improving spouse relation satisfaction, child relation satisfaction, daughter/mother in-law relation satisfaction, their effort for making happy family, self-esteem, and depression tendency. Future research and practical implications were added.

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