• Title/Summary/Keyword: Post-evaluation index

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Effectiveness of Intervntion for Cardiovascular Disease Prevention in Construction Workers (건설근로자 대상 심혈관질환 예방 중재의 효과)

  • Hwang, Sun-Kyung;Lee, Yoon-Ji;Kim, Bo-Kyung
    • Korean Journal of Occupational Health Nursing
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    • v.26 no.2
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    • pp.74-84
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    • 2017
  • Purpose: This study aimed to assess the risk of developing cardiovascular disease (CVD) and to evaluate the effects of intervention for CVD prevention in construction workers. Methods: A total of 497 workers participated the health status survey and finally 90 workers were analyzed for evaluation of the intervention with the one-group pretest-posttest design. The data were collected from the questionnaires and health examinations in the healthcare service for road constructor's CVD prevention as secondary analysis. The intervention of the healthcare was composed of CVD prevention education for all workers and face to face counselling for the high risk group of CVD risk during 6 months in workplace. Data were analyzed with descriptive statistics, $x^2$ test, Wilcoxon signed rank test, and paired t-test. Results: The moderate and high risk groups of CVD were 9.7% and 0.8%. After the intervention, the physical activity (MET-min/week) significantly increased (Z=-5.46, p<.001). But, there were no significant differences in blood pressure, fasting glucose, body mass index, and CVD risk appraisals between pre and post intervention. Conclusion: The findings imply that it is necessary to develop the health promotion program for construction workers which fully reflects the characteristics of individuals and the organization.

Factors Influencing the Background Parenchymal Enhancement in Follow-Up Breast MRI after Adjuvant Endocrine Therapy

  • Youk, Ji Hyun;Son, Eun Ju;Kim, Jeong-Ah
    • Investigative Magnetic Resonance Imaging
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    • v.19 no.2
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    • pp.99-106
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    • 2015
  • Purpose: To investigate factors influencing the evaluation of background parenchymal enhancement (BPE) at follow-up breast magnetic resonance imaging (MRI) after adjuvant endocrine therapy. Materials and Methods: One hundred twelve women with breast cancer and MRI of the contralateral unaffected breast before and after endocrine therapy were identified. Two readers in consensus performed blinded side-by-side comparison of BPE (minimal, mild, moderate, and marked) before and after therapy with categorical scales. Age, body mass index, menopausal status, treatment regimen (selective estrogen receptor modulator or aromatase inhibitor), chemotherapy, follow-up duration, BPE at baseline MRI, MRI field strength before and after therapy, and recurrence were analyzed for their influences on decreased BPE. Results: Younger age, premenopausal status, treatment with selective estrogen receptor modulator, MRI field strength, and moderate or marked baseline BPE were significantly associated with decreased BPE. In multivariate analysis, MRI field strength and baseline BPE showed a significant association. Conclusion: MRI field strength and baseline BPE before and after therapy .were associated with decreased BPE at post-therapy, follow-up MRI.

Nondestructive Damage Identification in a Truss Structure Using Time Domain Responses (시간영역의 응답을 사용한 트러스 구조물의 비파괴 손상평가)

  • Choi, Sang-Hyun;Park, Soo-Yong
    • Journal of the Earthquake Engineering Society of Korea
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    • v.7 no.4
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    • pp.89-95
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    • 2003
  • In this paper, an algorithm to locate and size damage in a complex truss structure using the time domain response is presented. Sampled response data for specific time interval is spatially expanded over the structure to obtain the mean train energy for each element of the structure. The mean strain energy for each element is, in turn, used to build a damage index that represents the ratio of the stiffness parameter of the pre-damaged to the post-damaged structure. The validity of the methodology is demonstrated using data from a numerical example of a space truss structure with simulated damage. Also in the example, the effects of noisy data on the proposed algorithm are examined by adding random noised to the response data.

A Study on Forecasting Visit Demands of Korea National Park Using Seasonal ARIMA Model (계절 ARIMA 모형을 이용한 국립공원 탐방수요 예측)

  • Sim, Kyu-Won;Kwon, Heon-Gyo
    • Journal of Korean Society of Forest Science
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    • v.100 no.1
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    • pp.124-130
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    • 2011
  • This study was conducted to find out appropriate model and forecast visit demand of korea national parks using seasonal ARIMA model. Data of monthly visitors uses of 18 korea national parks from January, 2003 to December, 2010 was used to analyze. The result showed that $ARIMA(1,0,0)(1,1,0)_{12}$ model was selected as a appropriate model to forecast visit demand of korea national parks and the result of post evaluation used by index of mean absolute percentage error was accurate. Therefore, the result of this study will enhance reliability and validity of forecasting technique and contribute to management strategy of korea national park.

Ultrasound-guided epidural block in axial spondyloarthritis patients with limited spine mobility: a randomized controlled trial

  • Elsaman, AM;Hamed, A;Radwan, AR
    • The Korean Journal of Pain
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    • v.34 no.1
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    • pp.114-123
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    • 2021
  • Background: Evaluation of the effectiveness of caudal epidural injection on pain, spine mobility, disease activity, and activity of daily living in axial spondyloarthritis (SpA) patients. Methods: A total sample of 47 patients were registered in this study. They were randomly assigned into 2 groups; Group I received caudal epidural injections, ultrasound-guided, with 1% lidocaine hydrochloride mixed with triamcinolone, whereas Group II did not receive any injections. All participants fulfilled the ASAS criteria for axial SpA. Outcome measures were as follows: visual analogue scale, Oswestry disability index (ODI), modified Schober test, lateral lumbar flexion, and Ankylosing Spondylitis Disease Activity Score (ASDAS) with assessment at baseline, 2 weeks, and 8 weeks post-treatment. This clinical trial was registered on clinicaltrials.gov under the number NCT04143165. Results: There was a significant difference between both groups regarding pain, ODI, spine mobility and ASDAS scores in favor of group I. This effect was at its maximum after 2 weeks. Despite the decline of this effect after 2 months, the difference between the groups remained significant. Higher disease activity, younger age, and shorter disease duration were associated with better outcomes. Conclusions: Epidural injection of lidocaine and triamcinolone is a cost effective and a practical technique for controlling pain, as well as improving the function of the spine and disease activity scores in axial SpA patients with acceptable complications and relatively sustained effect.

Guidance of Nerve Stimulator and Ultrasound for Transforaminal Epidural Steroid Injection in Lumbosacral Radicular Pain : A Single Institution Experience in Vietnam

  • Viet-Thang Le;Chi Hue Nguyen;Phuoc Trong Do;Anh Minh Nguyen;Khoi Hong Vo
    • Journal of Korean Neurosurgical Society
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    • v.67 no.2
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    • pp.194-201
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    • 2024
  • Objective : This study aimed to evaluate the clinical feasibility of the combination of ultrasound and nerve stimulator guidance in transforaminal epidural steroid injections (TESIs) to manage lumbosacral chronic radicular pain. Methods : Using the combination of nerve stimulator and ultrasound guidance, TESIs were performed in 125 segments of 78 patients who presented with chronic lumbar radicular pain. Demographic characteristics and surgical outcomes were recorded on admission, pre-procedural and post-procedural for 1-week, 1-month, 3-month, and 6-month follow-ups. The result was measured using the Numeric rating scale (NRS) and Oswestry disability index (ODI). Results : Patients who received TESIs showed significant improvements on two evaluation tools (NRS, ODI), compared to that before procedure (p<0.001). No significant complications were observed for 6 months' follow-up. Conclusion : The result suggests that a combination of ultrasound and nerve stimulator guidance in transforaminal epidural injections is safe, reliable and effective for short-term management of lumbar disc herniation. It is a promising technique and has shown good results in providing intermediate pain relief.

Fiber Type Effects on the Flexural Behavior of Steel Fiber Reinforced Concrete Beams (강섬유의 형태에 따른 SFRC보의 휨거동에 관한 연구)

  • Jeon, Chan Ki
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.12 no.4
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    • pp.95-106
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    • 1992
  • This paper presents a comparative evaluation of five different types of steel fibers used as reinforcing material in concrete beams. Two types of plain and RC beams were prepared to compare the relative flexural behavior. The fibers used were dog bone (paddled), both ends hooked. コ-type straight. crimped and wavy type with aspect ratio of 43 to 75. Fiber volume fraction of 1 to 2% were used while shear span to depth ratio (aid) and steel ratio p were fixed. Fiber reinforcement effect index Ef and effective toughness index Te were adopted to evaluate fiber reinforcing effects. The effect of fiber reinforcement on flexural strength is higher in plain beams than in RC beams. Hooked and dog bone type fibers were found to be more effective than the other type ones in enhancing the flexural strength and post-peak energy absorption capacity of concrete beams.

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Impact of Patients' Level of Participation in Rehabilitation on Functional Outcome in Patients With Stroke (뇌졸중 환자의 재활참여가 기능회복에 미치는 영향)

  • Won, Jong-im
    • Physical Therapy Korea
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    • v.27 no.1
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    • pp.63-69
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    • 2020
  • Background: Stroke recovery is a long and complex process. Successful stroke recovery seems to be strongly associated with patients' high motivation and committed participation. Patients' motivation is a key determinant of successful rehabilitation outcomes, but it is difficult in defining and measuring. Patients' participation is defined as the degree or extent to which subjects take part in rehabilitation activities and can be measured by observable behavior. Objects: The purpose of this study was to investigate the impact of patients' level of participation in rehabilitation on functional outcomes in patients with stroke. Methods: Forty post-stroke inpatients participated in this study. The level of rehabilitation participation was measured by the Hopkins Rehabilitation Engagement Rating Scale (HRERS). Other measures used for the evaluation were the Rivermead Mobility Index (RMI) and Korean version of the Modified Barthel Index (K-MBI). Overall measurements were made at early intervention and late intervention. Spearman correlation and multiple regression were used to measure the relationships between HRERS, RMI, and K-MBI. Results: The correlation found between HRERS total scores at early intervention and RMI total scores of late intervention was above moderate (r = 0.607, p < 0.01). RMI total scores at early intervention (p < 0.000), HRERS total scores at early intervention (p < 0.001), and disease duration (p < 0.003) were significant predictors of RMI total scores at late intervention. Conclusion: The level of participation at early intervention was associated with improvement in mobility. The level of mobility at early intervention, disease duration, and patients' participation at early intervention were important determinants of functional outcome. These findings suggest that patients' participation should be encouraged in order to achieve successful stroke recovery.

Effect of the Physical Activity Promotion Program on Physical Function and Quality of Life in Elderly (신체활동증진 프로그램이 노인의 신체 기능 및 삶의 질에 미치는 효과)

  • Kim, Young-Hee
    • Journal of Korean Biological Nursing Science
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    • v.10 no.1
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    • pp.11-18
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    • 2008
  • Purpose: The purpose of this study was to identify the effect of the physical activity promotion program on physical function and quality of life in the elderly. Method: The research was designed with one single pre-post group. The study group of 295 elderlies were selected through the convenience sampling form in a senior citizen's center in Ulsan city. The subjects received the physical activity promotion program for 60 min three times a week for 3 months. To evaluation the effects of the physical activity promotion program, body mass index (BMI), physiological index, physical function (muscle endurance, agility, balance) and quality of life were measured at before and after the program. The data was analyzed through SPSS 10.0 program for descriptive statistics and paired t-test. Result: After performing the physical action promotion program for 3 months, the results were follows. 1) There were significantly increased in BMI (t=4.36, p=.000). 2) There were significantly decreased in diastolic pressure (t=.68, p=.009). 3) There were significantly improved in muscle endurance (t=6.50, p=.000), agility (t=4.74, p=.000) and Rt. leg balance (t=4.15, p=.000). 4) There were significantly improved in quality of life (t=7.28, p=.000). Conclusion: These findings showed that the physical activity promotion program was effective in improving physical function and quality of life in the elderly. Therefore, the physical activity promotion program could be applied as an effective nursing intervention program for the elderly to promote their health.

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Bone changes in the mandibular incisors after orthodontic correction of dental crowding without extraction: A cone-beam computed tomographic evaluation

  • Valerio, Claudia Scigliano;Cardoso, Claudia Assuncao e Alves;Arauujo, Eustaquio Afonso;Zenobio, Elton Goncalves;Manzi, Flavio Ricardo
    • Imaging Science in Dentistry
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    • v.51 no.2
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    • pp.155-165
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    • 2021
  • Purpose: This study aimed to evaluate changes of the alveolar bone and interdental bone septum of the mandibular incisors through cone-beam computed tomography (CBCT) after orthodontic treatment of mandibular dental crowding without dental extraction. Materials and Methods: The sample consisted of 64 CBCT images(32 pre-treatment and 32 post-treatment) from 32 adult patients with class I malocclusion and an average age of 23.0±3.9 years. The width and height of the alveolar bone and interdental septum, the distance between the cementoenamel junction (CEJ) and the facial and lingual bone crests, and the inclination of the mandibular incisors were measured. Results: The distance between the CEJ and the marginal bone crest on the facial side increased significantly (P<0.05). An increased distance between the CEJ and the bone crest on the facial and lingual sides showed a correlation with the irregularity index (P<0.05); however, no significant association was observed with increasing mandibular incisor inclination (P>0.05). The change in the distance between the CEJ and the marginal bone crest on the facial side was correlated significantly with bone septum height(P<0.05). Conclusion: Bone dehiscence developed during the treatment of crowding without extraction only on the incisors' facial side. Increasing proclination of the mandibular incisor was not correlated with bone dehiscence. The degree of dental crowding assessed through the irregularity index was associated with the risk of developing bone dehiscence. The interdental septum reflected facial marginal bone loss in the mandibular incisors.