• Journal of Korean Neurosurgical Society
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• 제62권5호
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• pp.561-566
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• 2019

Objective : Functional outcomes have traditionally been evaluated and compared using subjective surveys, such as visual analog scores (VAS), the Oswestry disability index (ODI), and Short Form-36 (SF-36), to assess symptoms and quality of life. However, these surveys are limited by their subjective natures and inherent bias caused by differences in patient perceptions of symptoms. The Fitbit $Charge^{(R)}$ (Fitbit Inc., San Francisco, CA, USA) provides accurate and objective measures of physical activity. The use of this device in patients after laminectomy would provide objective physical measures that define ambulatory function, activity level, and degree of recovery. Therefore, the present study was conducted to identify relationships between the number of steps taken by patients per day and VAS pain scores, prognoses, and postoperative functional outcomes. Methods : We prospectively investigated 22 consecutive patients that underwent laminectomy for spinal stenosis or a herniated lumbar disc between June 2015 and April 2016 by the same surgeon. When patients were admitted for surgery and first visited after surgery, preoperative and postoperative functional scores were recorded using VAS scores, ODI scores, and SF-36. The VAS scores and physical activities were recorded daily from postoperative day (POD) 1 to POD 7. The relationship between daily VAS scores and daily physical activities were investigated by simple correlation analysis and the relationship between mean number of steps taken and ODI scores after surgery was subjected to simple regression analysis. In addition, Wilcoxon's signed-rank test was used to investigate the significance of pre-to-postoperative differences in VAS, ODI, and SF-36 scores. Results : Pre-to-postoperative VAS (p<0.001), ODI (p<0.001), SF-36 mental composite scores (p=0.009), and SF-36 physical composite scores (p<0.001) scores were found to be significantly different. Numbers of steps taken from POD 1 to POD 7 were negatively correlated with daily VAS scores (r=-0.981, p<0.001). In addition, the mean number of steps from POD 3 to POD 7 and the decrease in ODI conducted one month after surgery were statistically significant (p=0.029). Conclusion : Wearable devices are not only being used increasingly by consumers as lifestyle devices, but are also progressively being used in the medical area. This is the first study to demonstrate the usefulness of a wearable device for checking patient physical activity and predicting pain and prognosis after laminectomy. Based on our experience, the wearable device used to provide measures of physical activity in the present study has the potential to provide objective information on pain severity and prognosis.

• 재활치료과학
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• 제4권1호
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• pp.53-62
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• 2015

목적 : 본 연구의 목적은 치매노인에게 다감각과 신체활동을 병합한 그룹 활동 프로그램이 이상행동과 보호자 고통정도의 감소에 영향을 주는지 알아보고자 하였다. 연구방법 : 본 연구는 치매전문요양원에 입소하여 생활하는 5명의 중증 이상의 치매노인을 대상으로 4주간 프로그램을 적용하였다. 프로그램 효과를 검증하기 위해 사용한 평가도구는 신경정신행동검사(Neuropsychiatric Inventory)였고, 12가지 이상행동빈도와 이에 따른 요양보호사의 고통정도를 프로그램 전과 후로 나누어 각각 측정하였다. 결과분석은 비모수 통계방법인 윌콕슨 부호 순위 검정(Wilcoxon signed rank test)을 사용하였다. 결과 : 치매노인의 이상행동증상 빈도의 평균이 70점에서 48점으로 감소하였고, 보호자의 고통정도는 평균이 47점에서 29점으로 감소하였다. 결론 : 본 연구의 결과를 통해 요양원 거주인의 다감각과 신체활동을 적용한 그룹 활동 프로그램이 중증 이상의 치매 노인에게 이상행동과 요양보호사 고통정도가 감소하는데 긍정적인 효과가 있음이 증명되었다.

• 품질경영학회지
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• 제43권4호
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• pp.533-544
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• 2015

Purpose: The purpose of this study is to analyze the cost efficiency of food industry in JeollaNamdo. And this study is focused on the correlation between the economic efficiency of food industry and its cost efficiency, based on the analysis of 372 food companies' data in JeollaNamdo in 2012. Methods: DEA cost minimization is the measurement of the cost efficiency of JeollaNamdo food industry in 2012. In this study, the CCR and BBC models have been employed to analyze the decomposing cost efficiency-technical efficiency, allocative efficiency, and scale efficiency respectively. And the Spearman rank correlation and Wilcoxon signed rank test also have been employed to check the correlation and difference between the ranking orders based on the efficiency scores respectively. Results: For the CCR model, mean cost efficiency was found to be 0.084(0.54 for allocative efficiency and 0.19 for technical efficiency). For the BCC model, mean cost efficiency was found to be 0.252(0.453 for allocative efficiency and 0.564 for technical efficiency). Average scale efficiency was found to be 0.38. In analyzing the results, this study argues that the optimal way to improve cost efficiency is by reducing inputs proportionally and changing their combination. Conclusion: The efficiency scores of the two models show high correlation, whereas, the differences between them are also found to be significant. Hence, it should be cautious to select a suitable model when we do the research.

• 한국전문물리치료학회지
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• 제30권2호
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• pp.128-135
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• 2023

Background: Despite the fact that aquatic exercise is one of the most popular alternative treatment methods for children with cerebral palsy (CP), there are few research regarding its effectiveness. Objects: The purpose of this study was to examine the effects of aquatic exercise on upper extremity function and postural control during reaching in children with CP. Methods: Ten participants (eight males and two females; 4-10 years; Gross Motor Function Classification System levels II-IV) with spastic diplegia were recruited to this study. The aquatic exercise program consisted of four modified movements that were selected from the Halliwick 10-point program to enhance upper extremity and trunk movements. The participants attended treatment two times a week for 6 weeks, averaging 35 minutes each session. The Box and Block Test (BBT), transferring pennies in the Bruininks-Oseretsky Test (BOT), and pediatric reaching test (PRT) scores were used as clinical measures. Three-dimensional motion analysis system was used to collect and analyze kinematic data. Differences in BBT and BOT values among pre-treatment, post-treatment, and retention (after 3 weeks) were analyzed using a Friedman test. In addition, the PRT scores and variables (movement time, hand velocity, straightness ratio, and number of movement units) from the three-dimensional motion analysis were tested using a Wilcoxon signed-rank test. The significance level was established at p < 0.05. When the results appeared to be statistically significant, a post-hoc test for multiple comparisons was performed with the Wilcoxon signed-rank test. Results: All clinical measures, which included BBT, transferring pennies of BOT, and PRT, were significantly increased between pre-intervention and post-intervention scores and between pre-intervention and retention scores after treatment (p = 0.001). Three-dimensional motion analysis mostly were significantly improved after treatment (p = 0.001). Conclusion: Aquatic exercise may help to improve body function, activity, and participation in children with varying types of physical disabilities.

• 대한족부족관절학회지
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• 제28권1호
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• pp.15-20
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• 2024

Purpose: Achilles tendon rupture is a frequently encountered ankle pathology associated with a substantial burden of intense pain and functional deficits. Chronic Achilles tendon ruptures with considerable defects pose intricate repair challenges that are often marred by complications such as re-rupture and persistent pain. Various treatment methods, including allograft transplantation, have been proposed, but the literature on this technique is limited. In this study, we propose a surgical approach utilizing allotendon transplantation and a calcaneal tunneling technique and provide clinical evaluation details. Materials and Methods: Fifteen patients with chronic Achilles tendon ruptures treated with allotendon between 2020 and 2022 were included in the study. Patients were evaluated at 1, 3, and 6 months postoperatively using Visual Analog Scale (VAS) scores and Achilles Tendon Total Rupture Scores (ATRSs). Complications were assessed postoperatively. Results: The average VAS score was 7 before surgery, 7.3 immediately after surgery, and 4.3 at 1 month, 2.5 at 3 months, and 1.3 at 6 months after surgery. Because the sample was limited to 15 individuals and distributions were non-normal, the analysis was conducted using the non-parametric Wilcoxon's signed-rank test, and statistical significance was accepted for p-values<0.05. Results showed a significant improvement in ATRS and VAS scores versus preoperative and immediate postoperative values. VAS scores showed a decreasing trend after surgery, whereas average ATRS scores increased from 14 before surgery, 33.8 at 1 month, 82.7 at 3 months, and 93.9 at 6 months. Conclusion: This study suggests that allograft transplantation using the described calcaneal tunnel technique provides an effective treatment for chronic Achilles tendon ruptures. However, extensive research and long-term clinical trials are required to validate and better understand the technique's efficacy.

• 한국컴퓨터정보학회논문지
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• 제22권12호
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• pp.117-123
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• 2017

The personalized search algorithm is a search system that analyzes the user's IP, cookies, log data, and search history to recommend the desired information. As a result, users are isolated in the information frame recommended by the algorithm. This is called 'Filter bubble' phenomenon. Most of the personalized data can be deleted or changed by the user, but data stored in the service provider's server is difficult to access. This study suggests a way to neutralize personalization by keeping on sending random query words. This is to confuse the data accumulated in the server while performing search activities with words that are not related to the user. We have analyzed the rank change of the URL while conducting the search activity with 500 random query words once using the personalized account as the experimental group. To prove the effect, we set up a new account and set it as a control. We then searched the same set of queries with these two accounts, stored the URL data, and scored the rank variation. The URLs ranked on the upper page are weighted more than the lower-ranked URLs. At the beginning of the experiment, the difference between the scores of the two accounts was insignificant. As experiments continue, the number of random query words accumulated in the server increases and results show meaningful difference.

• 응용통계연구
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• 제17권2호
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• pp.269-280
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• 2004

본 연구를 통하여 순위를 이용한 선형회귀모형의 가정된 분포형태가 우리가 실질적으로 많이 접하게 되는 비대칭분포이면서 만일 가정된 분포가 오른쪽으로 늘어진 경우일 때에는, 본 논문에서 제안된 스코어의 가능한 한 0 보다 크고 1 보다 작은 r 및 1 보다 큰 s 를 선택 (0 〈 r 〈 1, s 〉 1) 하는 것이 윌콕슨 스코어보다 높은 효율성을 나타낸다. 이와 반대로 만일 가정된 비대칭분포가 왼쪽으로 늘어진 경우일 때에는, 제안된 스코어의 가능한 한 1 보다 큰 r 및 0 보다 크고 1 보다 작은 s 를 선택 (r 〉 1, 0 〈 s 〈 1) 하는 것이 윌콕슨 스코어보다 높은 효율성을 나타낸다. 아울러 바람직한 r 과 s 를 결정하기 위한 가정된 분포의 대칭성 검정기법도 제시한다.

• 임상간호연구
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• 제17권2호
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• pp.138-149
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• 2011

Purpose: The objective of this research was to explore levels of patient safety and safe nursing activities depending on the level of nurse staffing, in order to provide effective management of nurse personnel. Methods: The research was conducted with 455 nurses from eight hospitals in B city. Data were collected according to the level of nurse personnel from second (nurse vs. patient ratio of 2.0-2.5) to fifth (ratio of 3.5-4.0) rank. The survey tools were, 'Questionnaire on Patient Safety, a Hospital Survey on Patient Safety Culture developed by AHRQ (2007), and 'Questionnaire on Patient Safety Nursing Act, in which the questions were selected from nursing-related items (Medication 6 & Safety Nursing Assurance Act 4) in the Safety Evaluation developed by Evaluation Institute of Medical Institution. Data were analyzed with SPSS PC 12.0 program using descriptive statistics, $x^2$ test, ANCOVA and $Scheff{\grave{e}}$. Results: The nurses' overall cognition level on patient safety and safe nursing activities showed that nurses who are in the second and third rank had higher scores than those in lower ranks. Conclusion: The results of this study indicate that hospitals need a higher ratio level for nurse personnel in order to assure patient safety and safe nursing activities.

• Educational Technology International
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• 제24권2호
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• pp.169-202
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• 2023

This study aims to develop instructional design strategies included in educational programs that can effectively improve the educational data literacy of pre-service teachers. We used the design and development model proposed by Richey and Klein and investigated its internal and external validity. Internal validity assessment involved the input of five experts who evaluated the initial instructional strategies. We conducted an educational data literacy education program with 29 pre-service teachers from Korean colleges and graduate schools for external validity. The effectiveness of the program was verified by the Wilcoxon Rank Sum Test, which revealed a meaningful statistical difference between Wilcoxon Rank Sum Test post-scores after the four weeks of online classes. Therefore, this study developed instructional strategies followed by the steps of data-based decision-making: the final instructional strategies encompass 21 strategies, categorized for implementation before, during, and after classes, accompanied by 38 detailed guidelines. This approach bears notable significance as it encapsulates actionable and effective instructional strategies thoughtfully tailored to the unique circumstances and educational setting of the field, as well as the specific characteristics and requirements of the learners.

• 응용통계연구
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• 제30권4호
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• pp.503-512
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• 2017

선다형 문제의 경우 특정 위치의 답을 선호하는 수험생의 응답경향이 시험 결과에 미치는 영향을 최소화하기 위하여 정답배열을 특정위치에 편중되지 않고 고르게 분포할 필요가 있다. 이는 정답배열이 특정 번호에 편중되어 있으면 정답을 모를 때 중앙 또는 외곽 번호에 응답경향이 있는 수험생이 추측으로 문항의 답을 맞힐 수 있으므로 시험점수가 학생의 능력을 제대로 반영하지 못하는 결과를 초래할 수 있기 때문이다. 본 논문에서는 2017학년도 대학수학능력시험의 영역별 정답배열에 대하여 Bartels rank test, Wald-Wolfowitz runs test, turning point test, Cox Stuart trend test, difference sign test, Mann-Kendall rank test 등을 실시하여 정답배열이 고르게 분포되었는지 확인하였다. 또한 정답 번호와 배점 사이에 독립성이 지켜지지 않을 경우에도 특정 번호를 정답으로 선호하는 경향을 가진 수험생의 점수는 학생의 능력을 제대로 반영하지 못할 수 있기 때문에 정답의 위치와 배점 사이의 독립성 검정을 추가로 실시하였다.