• Title/Summary/Keyword: Value Intervention

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THE CHANGES OF C-REACTIVE PROTEIN IN THE PATIENTS ASSOCIATED WITH MANDIBULAR FRACTURE (하악골 골절 환자에서의 C-Reactive Protein의 변화)

  • Gwak, Jong-Min;Kim, Chul-Hwan;Kim, Kyung-Wook
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.28 no.1
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    • pp.35-41
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    • 2006
  • It is well known that concentration of C-reactive protein(CRP) in the serum increase as nonspecific reaction of the various tissue injury. The CRP, synthesized in the hepatocyte, is one of 'acute phase proteins' in the serum. The main signal patterns of this protein are regulated by synthesis of interleukin-I secreted from macrophage in the area of tissue injury. Many studies were performed for quantitative analysis for CRP according to various surgical operation, but the study for fracture patients associated with trauma, especially in mandible, are rare. The mandible fracture have intrinsic danger for infection in oral bacteria associated with open wound in oral cavity, and, are difficult for detection of tissue reaction between surgical swelling and infection by facial swelling. In this study, quantitative analysis for CRP associated tissue injury in mandibular fracture and surgical intervention was done, the results were as follows: 1. After initial mandibular trauma, the value of serum CRP diminished sequentially, most high value was presented in post-traumatic 2 days. 2. The CRP was diminished significantly 2 days after surgical intervention, and maintained normal value in 5 days after surgery. 3. The change of CRP are higher value in surgical intervention than initial trauma, it suggested that tissue injury from surgery was severe than trauma. 4. The high value of CRP was obtained in mandibular fracture combined soft tissue injury than no associated soft tissue injury. 5. In measurement of CRP according to surgical approach, highest serum value in patients of combined intra-oral and extra-oral approach was showed, and intra-oral approach, extra-oral approach, in sequential orders. 6. The CRP value are more higher in patient of 2 fracture site than only one fracture site. From the results obtained in this study, CRP has showed different values in mandibular fracture associated with severity of tissue injury and surgical intervention, and quantitative analysis of CRP value in serum can be applied to the clinical management of mandibular fracture.

The Effect of the Squat Exercise by Different Baseform on Balance Ability Enhancement in Normal Adult (선택적 지지면에 따른 스쿼트 운동이 정상 성인의 균형조절능력에 미치는 영향)

  • Kim, Minsoo;Seo, Inyoul;Jung, Gowoon;Lee, Geoncheol;Jung, Hanshin
    • Journal of The Korean Society of Integrative Medicine
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    • v.1 no.3
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    • pp.63-78
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    • 2013
  • PURPOSE : This study aims to investigate the positive correlation in pre-post test design between squat exercise on different baseform and the static/dynamic balance ability enhancement in adults. METHOD : This clinical study was designed into three different random-sampling adult groups (flat, balanced, vibration exercise device) and performed squat exercise. The static/dynamic balance ability was measured prior to the intervention and vice-versa. Balance was examined using the balance master 7.0 version systems. RESULT : 1) After the intervention, the controlled mat group in mCTSIB has showned the minimal mean value and the variation regards as acceptable by statistic value. 2) After the intervention, The mean value of LOS shows the minimal average variation in Randomised Trials, but the other two trials shows the maximal fluctuation. The difference variation regards as acceptable statistic value. 3)After the intervention, the mean value of mat group measrued as the maximal results, the difference variation regards as acceptable statistic value. 4)The striking correlation difference at mCTSIB has found in the vibration device exercise group, but LOS and Rhythmic W-S showed the correaltion in Mat group. CONCLUSION : The study found the positive correlation that enhanced balance ability on the different dynamic baseform squat exercise than static baseform environment. The significant difference found the balance pad squat effects on developing balance ability and the correlationship regards as statistically significant value.

Possibility of Inclusive Adaptation of The ABA Intervention at School

  • Saigh, Budor H.
    • International Journal of Computer Science & Network Security
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    • v.22 no.4
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    • pp.83-88
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    • 2022
  • Applied Behaviour Analysis (ABA) is the applied science where strategies are derived from the principles of behaviour and are applied to improve meaningful social behaviours [3]. This study investigates the possible inclusive value of the use ABA in schools in Saudi Arabia. Interviews were conducted with two ABA therapists and a support teacher in order to address this possibility. From the research findings, it emerged how ABA is one of the cognitive-behavioural intervention models and therefore, can be generalised to other disorders or diagnoses and the applied behavioural analysis does have an inclusive value as it structures individualized activities for the increase of both personal and social skills and these activities allow the subject to work on his or her skills, which are, however, absolutely preparatory to the inclusion of the subject in the classroom context.

A Retrospective cohort study on the effect of health counselling through the level of $\gamma-GTP$ after screening test (스크리닝을 이용한 건강진단후 건강상담이 $\gamma-GTP$의 변화에 미치는 영향 조사)

  • Lee, Yong-Jin;Ahn, Jae-Eog;Kim, Joo-Ja;Lee, Byung-Kook
    • Journal of Preventive Medicine and Public Health
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    • v.30 no.3 s.58
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    • pp.518-529
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    • 1997
  • 1,281 male subjects who had been examined more than 3 times for regular check-up in one human dock center of the university hospital were studied between 1990-1995, to evaluate the effect of health counselling with life style and $\gamma-GTP$ value between 1054 normal group without intervention and 227 abnormal group with intervention, ages from 30 to 69 years old. Total mean value of $\gamma-GTP$ was $45.7{\pm}40.7$ unit with highest $\gamma-GTP$ value in age group 50-59 on initial examination. Total abnormal rate was 17.7% with the highest abnormal rate of 18.6% in age group 50-59. Initially, the value of $\gamma-GTP$ was significantly different according to the degree of alcohol intake, relative weight and smoking in normal group(p<0.01) not in abnormal group. In conclusion, the value of $\gamma-GTP$ were significantly increasing in normal group without intervention and significantly decreasing in abnormal group with intervention(p<0.05), which suggests the effect of health counselling, such as the recommendation to change the health behaviour.

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The Distribution of Mismatches in Government Policy Response against COVID-19 in Terms of Risk Communication and its Implications

  • BAE, Suk-Kyeong;CHOI, Choongik
    • Journal of Distribution Science
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    • v.19 no.12
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    • pp.91-101
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    • 2021
  • Purpose: This study aims to explore the effects of government's value intervention messages on the prevention and control of infectious disease in the risk communication process in terms of goveremnt policy response to COVID-19 from the mismatch message perspective, and draws the relevant implicaitons. Due to the infeciton spread, some people point out that depression caused by COVID-19 is because of wrong signals of the government and infectious disease prevention and control authorities, namely value intervention messsages. Research design, data and methodology: This study examined the epidcmic situation through message deails regarding the effects of government's mismatch messages on prevention and control of infectious disease and the resulting phenomena. Results: People's lives are under serious threat overall, so the declaration of the end of COVID-19 is almost impossible unlike MERS. Economic downturn due to foreced prevention and control regulaitons of COVID-19, mistruct of social distancing, fatigue on mismatch messages, and moral hazard on the awareness of prevention and control of infectious disease are negative phenomena to risk communiaiton on COVID-19. Conclusions: This study investigated the government authorities' policy sending wrong signals due to mismatching of the reality at this point in time for infectious disease prevention and control from the risk communicaiton perspectrive.

Usefulness of End-tidal Carbon Dioxide as a Predictor of Emergency Intervention in Major Trauma Patients (중증 외상 환자에서의 응급중재술 시행 예측 인자로서의 호기말 이산화탄소 분압의 유용성)

  • Kim, Sung Ho;Kim, Seunghwan;Lee, Jae Gil;Chung, Sung Phil;Kim, Seung Ho
    • Journal of Trauma and Injury
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    • v.27 no.4
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    • pp.133-138
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    • 2014
  • Purpose: If the survival of patients suffering from severe blunt trauma is to be improved, appropriate interventions should be taken immediately. The purpose of this study is to evaluate the clinical utility of end-tidal carbon dioxide ($ETCO_2$) as a surrogate marker for predicting both the need for intervention and the prognosis. Methods: This is a prospective observational study. Nasal cannula was applied to measure $ETCO_2$, and the following parameters, which are known to be related to the prognosis for a patient, were recorded: injury severity score (ISS), revised trauma score (RTS), arterial blood gas (ABG), lactate, and hemoglobin (Hb). To evaluate the outcome, we investigated the details of emergent interventions and expired patients. Results: A total of 93 patients were enrolled in this study. Emergent intervention was significantly associated with systolic blood pressure (sBP, p-value=0.001), $ETCO_2$ (p-value<0.001), serum lactate level (p-value<0.001), pH (p-value< 0.003), $HCO_3$ (p-value=0.004), base excess (p-value<0.002), ISS (p-value<0.001) and RTS (p-value=0.005). In the multivariate logistic regression, only $ETCO_2$ (odds ratio (OR): 0.897, 95% confidence interval (CI): 0.792-0.975, p-value= 0.048) and ISS (OR: 1.132, 95% CI: 1.053-1.233, p-value=0.002) were associated with emergent intervention whereas $ETCO_2$ (p-value=0.973) and ISS (p-value=0.511) were not statistically significant in predicting the survival of patients in the univariate analysis. An optimal ETCO cut-off of 29 mmHg on the ROC curve was determined, with the area under the ROC curve (AUC) being 0.824 (0.732-0.917)]. Conclusion: This study has revealed that $ETCO_2$, which can be rapid and easily measured through a nasal cannula, and the ISS may be prognostic indicators of emergent interventions in Emergency Departments.

The Study on the Effect of Stage Based Exercise Motivational Intervention Program for the Elderly (운동행위변화단계에 근거한 노인 운동 동기화 중재프로그램의 효과에 관한 연구)

  • 이평숙;장성옥
    • Journal of Korean Academy of Nursing
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    • v.31 no.5
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    • pp.818-834
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    • 2001
  • This study aims at confirming exercise effects on obesity, mobility, self-efficacy, process of change, and decisional component by stage based exercise motivational intervention program for the elderly. The stage based exercise intervention program was constructed based on Transtheoretical Model. Methods: The design of this study is nonequivalent control group with repeated measuring by quasi-experimental study. The subjects of this study, composing of experimental group of 32 and control group of 28 were selected at one institution for the aged in Seoul. Results: 1) The body fat (weight, BMI and circumference of waist), of the intervention group was significantly decreased than the control group. 2) The mobility of the intervention group was not significantly increased than control group. 3) The self-efficacy, Pros, Process of Change for exercise of the intervention group was not significantly increased than the control group. 4) The Cons for exercise of intervention group was not significantly decreased than the control group. Conclusion: The above result have informed us that a stage-based exercise motivational intervention program for the elderly has the effect of decreasing old persons' body fat and has value as an effective means of nursing for the elderly.

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What do Female College Students think about Spiritual Values?

  • Kim, Jungae
    • International Journal of Advanced Culture Technology
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    • v.7 no.2
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    • pp.34-41
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    • 2019
  • The purpose of this study was to examine the meaning and structure of the experience of female college students. For this purpose, 22 female college students, regardless of age, participated in the interview three times in total. Interview data were processed through the analysis and interpretation process using the phenomenological research method, Giorgi method. As a result, 34 semantic units were derived, then divided into 14 subcomponents, and then divided into 6 categories. As a result of analysis, the spiritual value of female college students was composed of "family", "friendly person", "professional person", "empathy", "reflection" and "trust". Based on the above meaning, the structure of the spiritual value of female college students can conclude that they were a continuation of life that forms a strong sense of value and empathy and trust with patience with family and friends. Based on this, intervention on spiritual well-being of female college students suggests that intervention to form values based on empathy and trust based on family and close friends is implemented.

Effects of Sensory Integration Training on Equilibrium Ability in the College Students of the Twenties (감각통합훈련이 20대 대학생들의 균형능력에 미치는 효과)

  • Han, Jong-Man;Lee, Woo-Hyung
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.16 no.1
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    • pp.37-42
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    • 2010
  • Purpose : The purpose of this study was to evaluate the influence of sensory integration training on equilibrium ability in the college students of the twenties. Methods : The sensory integration training group(male: n=10, female: n=9) was measured an equilibrium ability by Kinesthetic Ability Trainer(KAT) at pre-intervention and post-intervention in 4weeks. Results : Mean value of eye close both leg standing and eye close one leg standing tests of the sensory integration training group were significantly reduced among the intervention period(p<.05). Conclusion : We were found that sensory integration training could reduce mean value of eye close both leg standing and eye close one leg standing tests and improve a balance for the college students of the twenties.

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Effects of educational intervention on single-rescuer respiratory-assistant therapy using a bag valve mask (백-밸브-마스크를 이용한 1인 호흡보조요법 교육의 효과)

  • Lee, Yong-Jae;Uhm, Dong-Choon
    • The Korean Journal of Emergency Medical Services
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    • v.23 no.3
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    • pp.29-40
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    • 2019
  • Purpose: This study was conducted to identify the effects of educational intervention on pre-test and post-test tidal volume, endotracheal peak pressure, and ventilation interval measurements during single-rescuer respiratory-assistant therapy by paramedic students. Methods: The present study, with a quasi-experimental design, included a pre-test and post-test nonequivalent control group. A total of 62 paramedic students (31, experimental group; 31, control group) participated in this study. The intervention lasted 80 minutes. Data were collected from each student before the intervention and two weeks after the intervention, between September 3 and 21, 2018. The collected data were analyzed using IBM SPSS Statistics for Windows, Version 25.0. Results: Tidal volume (p<.001) and endotracheal peak pressure (p=.002) measurements after the intervention were significantly different between the two groups. Analysis of covariance was used to control the variance (the pretest value of endotracheal peak pressure) in order to identify the effect of the intervention in the two groups. Endotracheal peak pressure was not significantly different between the two groups. Conclusion: Education and training of paramedic students in emergency medical services on single-rescuer respiratory-assistant therapy is necessary for the emergency care of patients with respiratory arrest.