• Title/Summary/Keyword: Repeated measures analysis

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Effects of Simulated Interdisciplinary Communication Training for Nursing Students on Self-confidence in Communication, Communication Behavior and Technical Skill Performance (학제간 의사소통을 포함한 시뮬레이션 교육이 간호대학생의 의사소통 자신감, 의사소통 행위, 기술적 술기 수행에 미치는 효과)

  • Nam, Kyoung A;Kim, Eun Jung;Ko, Eun Jeong
    • The Journal of Korean Academic Society of Nursing Education
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    • v.23 no.4
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    • pp.409-418
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    • 2017
  • Purpose: Ineffective communication between healthcare professionals leads to medical errors and puts patients at risk of harm. The aim of this study was to examine the effects of interdisciplinary communication training in simulated settings on self-confidence in communication, observed communication behavior, and technical skill performances of nursing students. Methods: A repeated measures design with one group was conducted. Data was collected from 92 nursing students through a self-administered questionnaire and an observed behavior checklist. Data analysis was performed using descriptive statistics, a paired t-test, the Wilcoxon signed rank test, the Friedmann test, a Repeated Measures ANOVA, and the Spearman correlation coefficient. Results: Self-confidence in communication, observed Identification-Situation-Background-Assessment-Recommendation-Read Back communication behavior, and technical skill performances of nursing students were significantly improved. In observed communication behavior, the performance of Assessment and Read Back communication significantly improved. However, communication of Background, Assessment, and Recommendation did not improve to a satisfactory level. Observed communication behavior was not correlated with the overall technical skill performance. Conclusion: These results indicate that interdisciplinary communication training in simulated settings was effective in improving nursing students' confidence and communication skills with physicians. Longitudinal studies with larger samples are recommended in order to verify the effects of interdisciplinary communication training on clinical outcomes as well as communication competence.

Effects of static stretching and hold-relax on recovering range of motion and reducing pain of patients with frozen shoulder (오십견 환자의 관절 가동 범위 회복과 통증 완화에 미치는 정적 신장 기법과 유지-이완 기법의 효과)

  • Hahm, Suk-Chan;Kim, In Bok
    • Journal of Korean Physical Therapy Science
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    • v.19 no.3
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    • pp.39-47
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    • 2012
  • Background : Patients with frozen shoulder have pain and limited range of motion (ROM) at the affected shoulder. Shoulder pain of these patients usually decreases with recovery of range of motion. The aim of this study is to identify effects of static stretching and hold-relax on recovering ROM and reducing pain of patients with frozen shoulder. Methods : In this study, 15 patients with frozen shoulder who were only treated with physical therapy were recruited. Patients who received any surgical procedure or hydrotherapy were excluded. The subjects were divided randomly into 3 groups; control(n=5), static stretching(n=5) and hold-relax(n=5) groups. Patients were treated with stretching and the total number of treatments was 12 times. The ROM was measured at baseline, after fourth, eighth and final treatments. Shoulder pain and disability index(SPADI) scores were assessed before and after doing all treatments. Repeated measures ANOVA was used to analyze ROM change within each group. Changes of ROM between groups was analyzed by one way ANOVA followed by post hot analysis(Tukey's HSD). SPADI score within each group analyzed using Wilcoxon signed ranks test. A p-value<0.05 was considered statistically significant. Study Design : Repeated measures design. Result : There were significant differences of ROM in both treatment groups except internal rotation of static stretching group. ROM was significantly increased in treatment groups compared with control group, but the difference of ROM change between two treatment groups did not differ significantly. SPADI scores for treatment groups significantly decreased compared with pre-SPADI score. Conclusion : The result suggests that hold-relax can be more effective than static stretching to recover range of motion and alleviate shoulder pain on patients with frozen shoulder.

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Kyphotic Angle Measurement Accuracy for Vertebral Osteoporotic Compression Fracture; Reliable Method for Kyphotic Angle Measurement

  • Hong, Jae-Taek;Lee, Sang-Won;Son, Byung-Chul;Sung, Jae-Hoon;Park, Choon-Keun;Kim, Moon-Chan
    • Journal of Korean Neurosurgical Society
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    • v.39 no.4
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    • pp.256-259
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    • 2006
  • Objective : Having a reliable and reproducible measurement technique to measure the sagittal contour in vertebral fractures is paramount to clinical decision making. This study is designed to determine the most reliable measurement technique in osteoporotic vertebral compression fracture. Methods : Fifteen lateral radiographs of thoracic and lumbar fractures were selected and measured on two separate occasions by three spine surgeons using six different measurement techniques [Centroid, Harrison Posterior Tangent Methods and 4 different types of modified Cobb method]. The radiograph quality was assessed and the center beam location was determined. Statistical analysis including ANOVA for repeated measures was carried out using the SAS software [v 8.0]. Results : The inter and intraobserver variance of the Cobb method 4 and Harrison posterior tangent method were significantly lower than the other four methods. The intraobserver correlation coefficients were the most consistent using the Cobb method 4 [0.982]. which was followed by the Harrison posterior tangent [0.953] and Cobb methods 1 [0.874]. The intraobserver agreement [% of repeated measures within 5 degrees of the original measurement] ranged from 42% to 98% for each technique for all three observers, with the Cobb method 4 showing the best agreement [97.8%] followed by the Harrison posterior tangent method [937%]. Conclusion : The Cobb method-4 and Harrison posterior tangent methods, when applied to measuring the kyphosis, are reliable and have a similar small error range. The Cobb method 4 shows the best overall reliability. However, the centroid method and Cobb method using a fractured endplate do not produce an accurate result due to inter and intraobserver differences in determining the baseline.

Effects of Hand Acupressure on Low Back Pain, Range of Joint Motion, and Postpartum Depression in Women in Postpartum Period (수지요법이 산욕기 여성의 요통, 관절가동범위, 산후우울감에 미치는 효과)

  • Kim, Yeoun-Ok;Shin, Sang Ye
    • The Journal of the Korea Contents Association
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    • v.22 no.8
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    • pp.648-659
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    • 2022
  • The purpose of this study is to investigate the effects of Hand Acupressure Therapy on lower back pain, hip joint range of motion, and depression in postpartum women. Methods: Data was collected from March 21 to May 1, 2022 from 40 postpartum women. 𝛘2-test, independent t-test, repeated measures analysis of variance (ANOVA), and Scheffe's test were performed using SPSS/WIN 21.0. Results: Compared with the control group, the lower back pain score of the experimental group that performed Hand Acupressure therapy was lower, and the angle of joint range of motion was increased. Postpartum depression scores were also shown to decrease, and all of these results were statistically significant. Conclusions: Based on this study, it was confirmed that Hand Acupressure therapy can be used as an effective non-invasive intervention for back pain, joint range of motion, and postpartum depression, and suggested the implications and direction of further research.

The Effect of Trunk Stabilization Exercise Using a Reformer on Trunk Control Ability, Balance, and Gait Function in Chronic Stroke Patients (리포머를 이용한 체간 안정화 운동이 만성 뇌졸중 환자의 체간 조절 능력과 균형 및 보행 기능에 미치는 영향)

  • Sang-Yong Han;Seong-Ho Jo;Dong-Hwan Park
    • PNF and Movement
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    • v.22 no.2
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    • pp.201-211
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    • 2024
  • Purpose: This study aimed to evaluate the effects of trunk stabilization exercises using a Reformer on trunk control, balance ability, and gait function in chronic stroke patients. Methods: The participants were 24 chronic stroke patients, randomly divided into two groups: trunk stabilization exercise using the Reformer group (TS-R, n = 12) and general trunk stabilization exercise group (GT-E, n = 12). Assessment methods included the Trunk Impairment Scale for trunk control, the AMTI force platform for static balance, the Timed Up and Go test for dynamic balance, and the Dynamic Gait Index for gait function. Assessments were conducted before and after the intervention. The intervention for the TS-R group consisted of bridging exercises using a Reformer, while the GT-E group performed bridging exercises on a mat. All interventions were performed for 17 minutes per session, five times a week, for a total of 20 sessions over four weeks. Statistical analysis was performed using repeated-measures ANOVA to analyze the interaction between groups and time. Results: The results of the repeated measures ANOVA indicated a significant interaction between the groups and time. The TS-R group showed statistically significant differences in all variables before and after the intervention. In contrast, the GT-E group did not show statistically significant differences in any variables before and after the intervention. Conclusion: The findings of this study suggest that trunk stabilization exercises using a reformer are effective in improving trunk control, balance ability, and gait function in chronic stroke patients.

A statistical analysis of the fat mass repeated measures data using mixed model (혼합모형을 이용한 체지방 반복측정자료에 대한 통계적 분석)

  • Jo, Jinnam;Chang, Un Jae
    • Journal of the Korean Data and Information Science Society
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    • v.24 no.2
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    • pp.303-310
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    • 2013
  • Forty two female students whose fat mass ratio was over 30% were participated in the experiment of fat mass loss of two treatments for 8 weeks. They kept diary for foods they ate every day, took a picture of the foods, transmitted the picture to the experimenter by the camera phone. Among those, 28 students took the picture by regular camera phone (Treatment A), and the other students used smart phone (Treatment B). Fat mass weight and its related variables had been measured repeatedly four times at an interval of two weeks during 8 weeks. It was shown from mixed model analysis of repeated measurements data that AR(1) covariance matrix was selected as the optimal covariance matrix pattern. The correlation between two successive times is highly correlated as 0.838. Based upon the AR(1) covariance matrix structure, the students using smart phones were somewhat more effective in losing fat mass weight than the students using regular camera phones. The time effect was highly significant, but the treatment-time interaction effect was insignificant. The baseline effect and total cholesterol were found to be significant, but the calories with taking foods were somewhat significant, but the waist to hip ratio was found to be insignificant.

Sample size determination in dental research (치의학 연구에서의 표본크기 산출)

  • Lim, Hoi-Jeong
    • The Journal of the Korean dental association
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    • v.52 no.9
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    • pp.558-569
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    • 2014
  • Sample size determination is critical, but not easy to do. Sample size defined as the number of observations in a sample to be studied should be big enough to have a high likelihood of detecting a true difference between groups. Practical procedure for determining sample size, using $G^*$power and previous dental articles, was shown in this study. Examples involving independent t-test, paired t-test, one-way analysis of variance(ANOVA), and one-way repeated-measures(RM) ANOVA were used. The purpose of this study is to enable researchers with non-statistical backgrounds to use in practice freely available statistical software G*power to determine sample size and power.

Tasks of Conflicting Desires : Inclusion of Executive Level in the Analysis of Preschooler's Task Performance Ability (실행수준을 고려한 갈등소망 과제 개발 및 유아의 갈등소망 과제수행능력 분석)

  • Kim, Jin Kyung;Yi, Soon Hyung
    • Korean Journal of Child Studies
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    • v.29 no.6
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    • pp.177-191
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    • 2008
  • Prior studies were limited in the comparison of false belief tasks with desire tasks due to lack of consideration of level of executive functions. To compensate for this, executive functions were included in new preference-related and game-related tasks of conflicting desire. These tasks were administered to 246 preschoolers ranging from 2.5 to 4 years of age. Statistical analysis was by one-way ANOVA and repeated measures ANOVA. Results showed significant main effects depending on age and task type. Younger children lacked ability of executive function, such as inhibition and working memory. Older preschoolers averaged better scores on task performance, showing that it is difficult for younger children to control their own desires and select the contradicted view.

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One-time Traversal Algorithm to Search Modules in a Fault Tree for the Risk Analysis of Safety-critical Systems (안전필수 계통의 리스크 평가를 위한 일회 순회 고장수목 모듈 검색 알고리즘)

  • Jung, Woo Sik
    • Journal of the Korean Society of Safety
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    • v.30 no.3
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    • pp.100-106
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    • 2015
  • A module or independent subtree is a part of a fault tree whose child gates or basic events are not repeated in the remaining part of the fault tree. Modules are necessarily employed in order to reduce the computational costs of fault tree quantification. This quantification generates fault tree solutions such as minimal cut sets, minimal path sets, or binary decision diagrams (BDDs), and then, calculates top event probability and importance measures. This paper presents a new linear time algorithm to detect modules of large fault trees. It is shown through benchmark tests that the new method proposed in this study can very quickly detect the modules of a huge fault tree. It is recommended that this method be implemented into fault tree solvers for efficient probabilistic safety assessment (PSA) of nuclear power plants.

Effects of Backrest Position on Central Venous Pressure and Intracranial Pressure in Brain Surgery Patients (뇌수술환자에서 두부상승체위가 중심정맥압과 두개강내압에 미치는 영향)

  • Kim, Hyun-Ju;Sohng, Kyeong-Yae
    • Journal of Korean Academy of Nursing
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    • v.36 no.2
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    • pp.353-360
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    • 2006
  • Purpose: This study was done to investigate the effects of backrest elevation of 0 degree and 30 degrees that minimize the risk of increasing ICP when CVP is measured. Methods: Subjects were sixty-four patients who stayed in the neurosurgical intensive care unit after brain surgery at two university-based hospitals. CVP, blood pressure, heart rate and ICP were measured along with position changes in order of backrest position with primary 30 degrees backrest position, 0 degree backrest position and secondary 30 degrees backrest position. For data analysis, one-group, repeated-measures analysis of variance design was used in SAS program. Results: Backrest elevations from 0 degree to 30 degrees did not alter the CVP without increasing the ICP. Therefore, 30 degrees backrest position is a preventive position without increasing ICP. Conclusion: 30 degrees backrest position might be appropriate for brain injury patients when CVP is measured.