• 제목/요약/키워드: Repeated Measures ANOVA

검색결과 707건 처리시간 0.022초

사향소합원(麝香蘇合元)이 정상인의 심박변이도에 미치는 영향 (The Effect of Sahyangsohapwon on Heart Rate Variability of Healthy Subjects)

  • 김창현;황재웅;민인규;김미영;변형식;나병조;박성욱;박정미;고창남;배형섭;정우상;문상관;조기호;김영석
    • 대한한의학회지
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    • 제30권1호
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    • pp.120-127
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    • 2009
  • Objectives: Sahyangsohapwon (SS) is a herbal medication that has been widely used with circulatory and neural diseases. This study was conducted to assess the effect of SS on the autonomic nervous system by using heart rate variability measurement. Methods: The eligible subjects were enrolled from the healthy male group of ages 20 to 35 years. They were divided into two groups, the SS group (n=26) and the control (n=24). We monitored the ECG of subjects from the time period 14:00 to 18:00. In the SS group, subjects were administered with a dose of SS at the time 15:00, whereas the control group had none. For each hour HRV measurement was monitored every 15 minutes for 512 seconds from the time period 14:00 to 18:00. The mean value, which was calculated using the 4 values during each hour (i.e. 14:00, 14:15, 14:30, 14:45), was used as the representative value for each individual hour. For the measurement values, RR-interval and SDNN (standard deviation of the NN intervals) were used as time domain analysis, and HF (high frequency), LF (low frequency), and LF/HF ratio were used as frequency domain analysis. Results: The LF value showed an increase after one hour of SS administration and showed gradual diminution for each and every hour. The repeated measures of ANOVA for the comparison of the LF value between the SS group and the control group showed significant differences. While, RR interval, SDNN, HF, and LF/HF ratio values showed no significant differences between the two groups. Conclusions: We suggest that the SS might be useful for stabilizing autonomic nervous system by inhibiting sympathetic nerve activation in healthy people.

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CAI 개별 학습 프로그램을 적용한 금연 교육과 강의식 금연 교육의 효과 비교 - 실업계 남자 고등학생을 대상으로 - (A Comparative Study on the Effect of Smoking Cessation Education between CAI(Computer Assisted Instruction) and Lecture - Focused on Vocational High School Male Students -)

  • 이은숙;김정남
    • 한국보건간호학회지
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    • 제19권1호
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    • pp.74-94
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    • 2005
  • The purpose of this study was to compare the effect of education between CAI(Computer Assisted Instruction) and lectures for smoking cessation among male students who attended vocational high schools. Conducted from February 24th to April 26th, 2003, the study design was quasi-experimental with nonequivalent control group pretest-posttest design. The study subjects were 60 male students in K vocational high school in Daegu city, who were present smokers and had more than 7.0 ppm concentration level of carbon monoxide. Thirty students were randomly chosen as the experimental group which applied CAI education method for smoking cessation. The other 30 students served as the control group which received lecture education method of 40 minutes on four consecutive days. CAI education for smoking cessation was composed of ready-made individual learning contents, counseling by using cyber-communication, writing a letter to stop smoking, and writing a written agreement for smoking cessation. Lecture education for smoking cessation was composed of a ready-prepared lecture for the group, writing a letter to stop smoking, and writing a written agreement for smoking cessation. To measure smoking related knowledge, Jeong Ree Roh(1996)'s smoking related knowledge scale$(Cronbach's\;{\alpha}=0.84)$ was modified and used by the researcher. To measure smoking related attitude, Jeong Ree Roh(1996)'s smoking related attitude scale$(Cronbach's\;{\alpha}=0.91)$ was modified and used by the researcher. Smoking related knowledge scale's Cronbach's $\alpha$ was 0.83 in the pilot study and 0.93 in this study. Smoking related attitude scale's Cronbach's a was 0.80 in the pilot study and 0.98 in this study. To determine the smoking amount, the number of cigarettes smoked per day was checked. The concentration level of CO in the exhaled breath was measured (Micro CO Cat. No. MCO2, UK). Data was analyzed by $x^2-test$, t-test, repeated measures ANOVA. simple main effects, and time contrast test with SPSS/Win 11.0 program. The results of this study were as follows: 1. The first hypothesis. that 'Smoking-related knowledge score in the experimental group by using CAI education for smoking cessation will be higher than that in the control group by using lecture education for smoking cessation', was not supported. 2. The second hypothesis, that 'Smoking-related attitude in the experimental group by using CAI education for smoking cessation will be higher than that in the control group by using lecture education for smoking cessation'. was supported(F=6490.79. p=0.000). 3. The third hypothesis. that 'Smoking amount in the experimental group by using CAI education for smoking cessation will be less than that in the control group by using lecture education for smoking cessation'. was supported. 1) The third-1st sub-hypothesis. that 'The number of cigarettes smoked per day in the experimental group by using CAI education for smoking cessation will be less than that in the control group by using lecture education for smoking cessation'. was supported(F=134.19. p=0.000). 2) The third-2nd sub-hypothesis. that 'The concentration level of CO by ppm per one exhaled breath in the experimental group by using CAI education for smoking cessation will be lower than that in the control group by using lecture education for smoking cessation"' was supported(F=268.55. p=0.000). From the above results. CAI education can be an effective intervention to improve smoking-related knowledge and attitude. and to reduce the number of cigarettes smoked per day and the concentration level of CO by ppm per one exhaled breath. Lecture education can be effective to improve smoking-related knowledge. In the future, when CAI education and lecture education for smoking cessation are applied on the school nursing field. the students can gain a comprehensive understanding of smoking cessation, changes in smoking-related knowledge. smoking-related attitude and reducing smoking amount. Furthermore, CAI education for smoking cessation could be developed as an individual self initiative program and could give a guideline to apply CAI education for smoking cessation in other field.

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가정과 교육에서 학교도서관 활용수업이 중학생의 자기주도적 학습능력에 미치는 효과 (The Effect of School Library-Assisted Instruction on Self-Directed Learning Ability in Home Economics Education)

  • 이효순;유태명
    • 한국가정과교육학회지
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    • 제19권4호
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    • pp.201-218
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    • 2007
  • 본 연구는 가정과 교육에서 학교도서관 활용수업이 중학생의 자기주도적 학습능력에 미치는 효과를 규명하는 데 목적을 두었으며, 이를 위하여 다음과 같은 연구문제를 설정하였다. 첫째, 학교도서관 활용수업은 자기주도적 학습 능력 향상에 효과가 있는가? 둘째, 학교도서관 활용수업을 받은 집단 내에서 성적에 따라 자기주도적 학습 능력에는 어떤 변화가 있는가? 셋째, 교육방법에 따라 자기주도적 학습능력에는 어떤 변화가 있는가? 이상의 연구문제를 해결하기 위하여 J시에 소재한 중학교 3학년 여학생 164명(실험반 82명, 비교반 82명)을 대상으로 도서관 활용수업과 일반 강의식 수업을 14시간 실시하였다. 교육효과를 검증하기 위하여 자기주도적 학습능력 검사를 사전과 사후에 실시한 후 SPSS 12.0을 이용하여 자료처리를 하였다. 분석방법은 신뢰도분석, 빈도분석, 카이제곱 검증, 독립표본 t-검증, 대응표본 t-검증, 반복측정분산분석, 이원변량분석을 이용하였다. 이 연구를 통해 얻어진 결과는 다음과 같다. 첫째, 학교도서관 활용수업을 받은 집단과 그렇지 않은 집단 간에 자기주도적 학습능력의 차이는 통계적으로 유의미한 차이가 나타났다. 실험반의 자기주도적 학습능력은 모든 하위 항목에서 사전보다 사후에 통계적으로 유의미한 차이가 나타났으며, 실험반의 점수 향상이 훨씬 많았다. 비교반의 자기주도적 학습능력은 하위 항목 중 창의성과 자율성에서 사전보다 사후에 유의미한 차이가 있었다. 둘째, 학교도서관 활용수업을 받은 집단 내에서 학업 성적에 따라 자기주도적 학습능력의 변화는 문제해결능력을 제외한 모든 하위 항목들에서 상호작용 효과가 없는 것으로 나타났다. 문제해결능력은 학업 성적에 따라 점수의 상승폭에 유의미한 차이가 나타났으며, 학업 성적이 낮은 집단에서 상승효과가 높은 것으로 나타났다. 셋째, 도서관활용수업을 받은 집단이 일반 강의식 수업을 받은 집단보다 자기주도적 학습능력 점수의 상승폭이 높게 나타났으며, 학습능력 점수가 낮은 집단이 학습능력 점수가 높은 집단에 비하여 점수의 상승폭이 큰 것으로 나타났다. 이상과 같은 연구 결과를 통하여 학교 도서관 활용수업은 중학생의 자기주도적 학습능력 향상에 효과가 있었으며, 학업성적이 낮고 자기주도적 학습능력 점수가 낮은 집단에서 더 큰 상승효과가 있음을 알 수 있었다. 후속 연구로는 본 연구의 제한점을 보완하여 학교도서관 활용수업중 구체적으로 어떤 점이 자기주도적 학습능력을 향상시켰는지 다양한 실험설계를 통하여 조사할 것이 요구된다.

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법랑기질유도체가 치주인대세포, 불멸화 조골세포, 백악질 유래세포의 증식과 유전자 발현에 미치는 영향 (The effects of enamel matrix derivatives on the proliferation and gene expression of PDL fibroblast, $SaOs_2$ cells and Cementum derived cells)

  • 정유지;김경화;김태일;설양조;구영;이해준;류인철;정종평;한수부;이용무
    • Journal of Periodontal and Implant Science
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    • 제35권2호
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    • pp.321-333
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    • 2005
  • 1. 목적 in vitro 상에서 법랑기질유도체가 치주인대섬유아세포, 불멸화 조골세포와 백악질 유래세포의 증식과 유전자 발현에 미치는 영향을 알아보고자 하였다. 2. 연구방법 및 재료 <세포증식 연구> 교정을 목적으로 발거한 치아에서 분리, 배양한 치주인대섬유아세포와 백악질유래세포, 그리고 $SaOs_2$ 세포를 이용하였다. 법랑기질유도체가 세포 증식에 미치는 영향을 알아보기 위해, 35 mm Petri dish에 dish 당 $5{\times}10^3$ 개의 세포를 접종하였다. 대조군은 1% 항생제와 10% FBS를 포함한 DMEM 배지를 이용했고, 5mM 초산을 첨가한 군과 첨가하지 않은 두 개의 대조군이 이용되었다. 실험군은 100 ${\mu}g/ml$의 법랑기질유도제를 첨가한 군과 100 ${\mu}g/ml$의 법랑기질유도체와 5 mM의 초산을 첨가한 2개의 실험군이 이용되었다. 각 군은 세 개의 배양접시에 행해졌고, 1, 3, 8일에 세포의 수를 각각 측정하였다. 결과는 repeated measures ANOVA로 통계 처리하였다. <유전자 발현 연구> 각 세포의 형질 특성을 알아보기 위해 RT-PCR을 실시하여 조골세포 분화 표식자와 연관된 Human collagen type I(COL I), human osteopontin(OP), human osteocalcin(OC), human alkaline phosphatase(ALP)와 human bone sialoprotein(BSP)의 mRNA 발현을 실험 1, 3, 8일에 걸쳐, 세 군의 차이를 비교 관찰하였다. 3. 결과 <세포증식 연구> 치주인대세포와 백악질유래세포, 그리고 $SaOs_2$ 세포의 증식은 법랑기질유도체에 의해 영향을 받지 않았다. 대조군과 초산이 포함된 대조군 그리고 법랑기질유도체와 초산이 포함된 실험군에서 유의할 만한 세포 수의 차이가 실험 기간 1, 3, 8일에 걸쳐 나타나지 않았다(p<0.05). <유전자 발현 연구> ALP와 COL I은 세 군의 세포에서 모두 발현되었고, 발현 정도는 EMD에 영향을 받지 않았다. OC은 세 군에서 모두 비교적 약하게 발현되었고, 특히 $SaOs_2$ cell과 백악질유래세포에서 약하게 발현되었다. EMD는 OC의 발현정도를 약하게 하였다. OP은 백악질유래세포에서 1, 3, 8일에 걸쳐 EMD 유무에 관련 없이 발현되지 않았다. 그러나 치주인대세포와 $SaOs_2$ cell에서는 강하게 발현되었다. BSP는 치주인대세포와 $SaOs_2$ cell에서 1, 3, 8일에 걸쳐 비교적 고르게 발현되었다. EMD 배지에서 배양된 백악질유래세포는 8일에는 BSP가 발현되지 않았다. 4 결론 이번 실험 결과에 의하면 법랑기질유도체는 치주인대세포, 불멸화 조골세포와 백악질 유래세포의 증식에 있어 유의성 있는 효과를 나타내지 않았다. 그러나, 유전자 발현에 있어서는, 치주인대세포와 백악질유래세포, 그리고 $SaOs_2$ 세포 모두에서 OC mRNA의 발현을 억제하는 효과를 나타내었다. EMD는 세포의 증식에는 영향을 미치지 않지만, 유전자 발현에 있어 일부 영향을 미치는 것으로 보인다. 법랑기질유도체가 세포의 증식과 유전자 발현에 미치는 영향은 배양된 세포의 형질특성, 배양환경, 배양일수 등에 따라 달라질 수 있다. 그러므로 법랑기질유도체가 in vitro 상에서 세포에 미치는 영향은 보다 정량화된 연구가 필요하다.

성교육이 중학생의 컴퓨터와 비디오 음란물 접촉에 미치는 효과 (Effect of Sex Education on Middle School Students' Access to the Obscene Online Computer and Video Film Contents)

  • 우해자;김정남;박경민
    • 지역사회간호학회지
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    • 제12권3호
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    • pp.795-814
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    • 2001
  • To evaluate the effect of sex education on middle school students' access to the obscene online computer and video film contents. 154 students were selected as experimental group. and 154 students were selected as control group, sampled randomly from Andong. Kyungbook, Korea. An analysis was performed. A non-equivalent control group pre test-post test research design was used. The data were collected from April 2nd to April 19th. 2001. A pre-survey was done on general characteristics and the condition of accessing obscene online computer and video film contents on both experimental and control group. From the survey results information. sex education contents were put together. The researcher organized 3 ready-made sex education program and explained to the four school health nurses about the ready-made sex education program step by step and they educated their selected students with three classes of 45 minutes lecture. Two weeks after the last lecture, a post-test was conducted. Four weeks from the last lecture, another post-test was conducted. The existing studies by Choi Yongseon(1998) and Kim Hyeok(1998) were reviewed and two professors in the department of community health nursing advised on the study questionnaire writing. An SPSS Win 10.0 was used. The data of respondents' general characteristics were analyzed using frequency and percentage. $X^2$ test was used to verify the homogeneity of the experimental group and the control group. Repeated Measures ANOVA was used to find out whether sex education had an effect on the awareness of obscene online computer and video film contents and under-age prostitution through the online computer networks. and time and frequency of access to the obscene online computer and video film contents. The results of the study are as follow. 1. The results of the verification of homogeneity between the experimental group and the control group showed that there was no significant difference between the experimental group and the control group. 2. The first hypothesis, 'the experimental group which received sex education would have a higher level of awareness of accessing obscene contents than the control group which did not receive the education' was supported at p<0.0001. 3. The second hypothesis. 'the experimental group which received sex education would have a higher level of awareness of underage prostitution on computer networks than the control group which did not receive the education' was supported at p<0.05. 4. The third hypothesis, 'the experimental group which received sex education would spend time less accessing obscene video and computer contents than the control group which did not receive the education' was rejected at p>.05. 5. The 4-1 hypothesis. 'the experimental group which received sex education would access obscene computer contents less frequently than the control group which did not receive the education' was supported at p<0.0001. 6. The 4-2 hypothesis, 'the experimental group which received sex education would access obscene video contents less frequently than the control group which did not receive the education' was supported at p<0.0001. In conclusion, a systematic step-by-step sex education program should be developed to protect middle school students from the harmful online computer and video film access. An effective teaching material for sex education should be prepared to decrease middle school students' access to obscene online computer and video film contents.

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초등학교 고학년생의 기본심폐소생술 교육효과 및 지속성 (Efficiency and continuancy of basic CPR (Cardiopulmonary Resuscitation) education for the higher grade students of elementary schools)

  • 김희정
    • 한국응급구조학회지
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    • 제12권3호
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    • pp.87-98
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    • 2008
  • Purpose : This study was designed to figure out the necessity of continuing basic CPR education for the higher grade students of elementary school. The assessment contents were knowledge, practice ability, precision level of CPR skills and continuation of the educational efficiency. Methods : Twenty two students of 4th and 5th grade of elementary school in K city in Chungcheongnam-do were recruited for this study. The study method was a control group of non-synchronized design. A preliminary study was done on October 27 in 2006. The main study was performed from February 14 to May 11 in 2007. The researcher adopted the method of Kyung-hui, Kang (1998) such as awareness, attitude and knowledge in control group, emergency medical technician test protocol, Anne/SkillReporter$^{(R)}$ in case of the basic CPR knowledge. Four times of measures were done in shortly after practicing CPR, 4 weeks after the education, 8 weeks after the education, and 12 weeks after the education. By using SPSS/PC+ (version 12.0), the researcher analyzed the collected data based on frequency, percentage, repeated measurement, ANOVA (analysis of variance), and sidak (multiple comparison - sidak). Results : 1) The confidence of people in the control group in terms of practicing CPR showed a statistically meaningful difference (t = 10.230, p = .000) before/after CPR education. Therefore, hypothesis No.1-1 was accepted. 2) The educational necessity of people in the control group showed no statistically meaningful difference (t = -1.695, p = 0.105) before/after CPR education. Therefore, hypothesis No.1-2 was rejected. 3) The knowledge points of people in the control group showed a statistically meaningful difference (t = -7.731, p = .000) before/after CPR education. Therefore, hypothesis No.2 was accepted. 4) The confidence of people in the control group in terms of practicing CRP showed no meaningful difference (F = 2.789, p = 0.072) as time passed. Therefore, hypothesis No.3 was rejected. 5) The knowledge of people in the control group showed a meaningful difference (F = 9.090, p = .000) as time passed. Therefore, hypothesis No.4 was accepted. 6) The capability of people in the control group in terms of practicing CPR showed a statistically meaningful difference (F = 42.795, p = .000) as time passed. Therefore, hypothesis No.5 was accepted. 7) The precision level of CPR skill of people in the control group showed a statistically meaningful difference (F = 25.198, p = .000) as time passed. Therefore, hypothesis No.6-1 was accepted. 8) The precision level of chest compression skill of people in the control group showed a statistically meaningful difference (F = 5.188, p = .003). Therefore, hypothesis No.6-2 was accepted. Conclusion : In a nutshell, CPR education for the 4th and 5th graders of elementary schools had an influence on their confidence in practicing CPR and on their knowledge. This study showed that as time passed. the educational effect declined in terms of knowledge point, capability of practicing CPR, and the precision level of CRP skill. The results of the study could be postulated into the fact that re-education within 8 weeks after the first education was essential to retaining the educational effect. Therefore, we need to vitalize the CPR education for elementary school students repeatedly on a regular basis in order to continue the educational effect after they were grown-ups and to make them play their roles as a first aider.

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과학 학습에서 불일치 현상 대면 여부에 따른 상태호기심 및 상태불안의 변화 (Changes in State Curiosity and State Anxiety in Science Learning Depending on Confronting Violation of Expectation)

  • 강지훈;김지나
    • 한국초등과학교육학회지:초등과학교육
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    • 제41권3호
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    • pp.521-537
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    • 2022
  • 과학 학습 과정에서 유발되는 상태호기심과 상태불안은 학업 수행 및 성취에 많은 영향을 미친다. 상태호기심과 상태불안은 매 순간마다 그 수준이 변할 수 있기 때문에 학습의 전 과정에서 학생의 상태호기심과 상태불안 수준을 파악하여 지도할 필요가 있다. 이러한 맥락에서 본 연구에서는 과학 학습을 과학 문제 대면, 결과 확인, 과학 개념 학습의 세 상황으로 구분하여 초등학교 5~6학년 학생을 대상으로 자신의 예상과 결과의 일치 여부에 따른 학생들의 상태호기심 및 상태불안 수준의 변화를 분석하였다. 분석 결과, 문제 대면 후 결과를 확인하는 과정에서 자신의 예상과 일치한 결과에 직면한 nVOE 집단의 상태호기심 수준은 유의한 차이가 없었지만, 자신의 예상과 일치하지 않은 결과에 직면한 VOE 집단의 상태호기심은 증가하였다. VOE 집단 중 결과에 대한 이유를 바르게 추론한 VOE-R 집단의 상태호기심 수준은 유의한 변화가 없었지만 결과에 대한 이유를 바르게 추론하지 못한 VOE-FR 집단의 상태호기심은 증가하였다. 한편 문제의 결과를 확인한 후 VOE 집단과 nVOE 집단의 상태불안은 감소하였으며 VOE-R 집단 역시 상태불안이 감소하였다. 반면 VOE-FR 집단의 상태불안은 유의한 변화가 나타나지 않았다. 문제의 결과를 확인한 후 결과에 대한 과학 개념을 학습하는 과정에서 VOE 집단, nVOE 집단, VOE-FR 집단의 상태호기심은 모두 감소하였다. 한편 nVOE 집단의 상태불안 수준은 유의한 변화가 없었지만, VOE 집단, VOE-R 집단, VOE-FR 집단의 상태불안 수준은 감소하였다. 이러한 연구 결과의 교육적 함의에 대하여 논의하였다. 본 연구의 결과는 과학 학습에서 유발되는 학생의 정서적 상태에 대한 이해의 폭을 넓힐 수 있을 것으로 기대된다.