• 인간식물환경학회지
• /
• 제23권3호
• /
• pp.305-320
• /
• 2020

Background and objective: The problem that follows the increase of dementia patients is the burden of caregivers caring for dementia patients. The purpose of this study was to examine the effects of horticultural therapy programs improving the quality of life and reducing the depression and burden of caregivers of the elderly with dementia. Methods: In this study, 19 caregivers of the elderly with dementia were selected, and the experiment was conducted by dividing the control group (n=9) and the experimental group (n=10) by random distribution. The experimental group was given eight horticultural therapy programs twice a week for a total of 4 weeks. Subjects were assessed using the depression(CES-D), quality of Life (WHOQOL-BREF), and care burden scales. The evaluation results were verified at a 95% significance level using descriptive statistics, the Mann-Whitney U test, and Wilcoxon signed-rank test. Results: In the case of depression, the control group's score tended to increase, and the experimental group's score appeared to decrease, but it was not a statistically significant change. In the quality of life, the control group was not statistically significant, but scores decreased overall. On the other hand, in the experimental group, the general quality of life increased significantly from 11.60 to 14.20 points (p = .02), and the total quality of life increased to a marginally significant level from 61.59 points to 68.85 points (p = .059). In the post-test of the total care burden score, a marginally significant difference was found between the control group (94.44 points) and the experimental group (82.50 points; p = .079). Conclusion: This study confirmed the applicability to reduce the burden of caregiving and improve the deterioration of quality of life of the caregivers. In particular, the results will serve as an opportunity to confirm accessibility in a new way to support the caregiver of dementia patients by demonstrating the applicability of horticultural therapy at a time when problems such as the burden of supporting the caregiver are emerging as social problems.

• 한국항만경제학회지
• /
• 제32권4호
• /
• pp.73-87
• /
• 2016

본 논문에서는 동북아시아 24개 컨테이너항만들의 4년간 자료(2009년-2012년)를 이용하여 5개의 투입요소(겐트리 크레인 수, 선석 수, 총 선석길이, 터미널면적, 평균수심), 2개의 산출요소(컨테이너화물처리량, 직기항 선사수)를 이용하여 항만효율성 측정 시 AR가중치를 부여하는 방법(다중회귀분석방법과 AHP방법)을 실증적으로 검증하였다. 즉, AHP/DEA-AR분석 결과에 대해서, 다중회귀분석방법으로 AR을 결정하고 항만들의 효율성을 측정한 후에 항만들 간의 순위를 이용하여 윌콕슨부호순위검정과 Mann-Whitney 윌콕슨 순위 합 검정방법으로 그 결과를 비교분석하여 검증하였다. 실증분석의 주요한 결과는 다음과 같다. 첫째, 측정한 순위를 근거로 윌콕슨부호순위검정을 실시한 결과 P값(유의확율)이 유의수준 0.05보다 훨씬 더 크게 나타났으므로, 귀무가설 Ho는 채택하였다. 즉, AHP/DEA-AR모형에 의한 효율성 순위와 다중회귀분석에서 도출된 AR을 이용한 효율성분석에 의한 순위에는 차이가 없는 것으로 나타났다. Mann-Whitney 윌콕슨 순위 합 검정도 동일한 결과를 보였다. 둘째, 평균적으로 보았을 때, 윌콕슨 부호순위검정에서 P값(유의확율)이 평균 0.845 수준에서 양 모형의 효율성 수치에 의한 순위가 서로 일치함을 보여 주었으며, Mann-Whitney 윌콕슨 순위 합 검정의 평균유의확율은 0.963으로 더 높게 나타났다. 셋째, 전체자료를 한꺼번에 고려하여 측정한 경우에는 윌콕슨부호순위검정에서 상대적으로 유의확율이 크게 낮아(0.845->0.694)졌으며, Mann-Whitney 윌콕슨 순위 합 검정도 낮아(0.963->0.925)졌다. 본 논문의 정책적인 함의는 항만운영자들이나 항만정책의 입안가들이 항만들에 대한 효율성을 측정할 때, 본 논문에서 제시한 AR가중치를 적용한 방법을 도입하여 시행함으로써 보다 정확한 항만효율성을 측정할 수 있어야만 한다는 점이다. 또한 더욱 확장시켜서 AHP법과 다중회귀분석방법을 접목한 방법을 도입하여 측정해야만 한다는 점이다. 항만투자금액을 결정할 때, 그러한 측정결과도 참고한다면 효과적인 항만관리 및 정책이 시행될 수 있을 것으로 확신한다. 본 논문의 한계는 퍼지분석법, 비방사적 DEA분석을 도입하지 못했으며, 그리고 AHP법과 다중회귀분석방법을 혼합한 측정결과를 제시하지 못했다는 점이다. 차후연구에서 다루고자 한다.

• 기본간호학회지
• /
• 제1권1호
• /
• pp.77-97
• /
• 1994

The circadian system represents a temporal order which is mediated by the mutual coupling of oscillators and by the synchronizing effects of zeitgebers. It is known that well-being of man depends partly on the maintenance of this order, and that repeated or long lasting disturbances to it such as shift work will Cause harmful effects. This study was a quasi-experimental study to test the effect of shift directions for the clinical nurses on the circadian rhythm. Fourteen nurses working at the general units of Y hospital were selected according to the established criteria. Fourteen subjects were assigned to a weekly shift but the directions of shift work were phase delay first and then phase advance or vice versa. Oral temperature, total sleeping time, frequency of sleep-wake cycle, fatigue, mental performance, and physical symptom were measured during these days except holidays. The data collection period was from April 26, 1993 to July 3, 1993. MANOVA and Wilcoxon signed rank test were used for statistical analysis. The results are summarized as follows. 1. Having worked on evening and night shifts in either phase delay or phase advance schedules, temperature rhythms of shift workers were gradually adapted to the new sleep-wake cycles. A complete adaptation to work on the night shift was achieved the sixth day of the night shift in the phase delay schedule compared to the partial adaptation to the work on the night shift in the phase advance schedule. Accordingly, by putting evening shift between day and night shifts, it will be possible for circadian rhythm to adapt easily to the night shift. 2. There were differences in the total sleeping time, frequency of steep-wake cycle, fatigue, and physical symptom except for mental performance between night shift and day, evening shift. This indicates further that shift workers working on the night shift have a hard time adapting to the shift work compared to the other shifts. 3. Evaluating all the acrophases of temperature rhythm either in phase delay or phase ad-vance schedules, it was shown that night to evening shift in the phase ad-vance schedule revealed the smallest phase move. Also phase advance schedule showed poorer adaptation to shift work than phase delay schedule in connection with total sleeping time, frequency of sleep-wake cycle, fatigue, mental performance, and physical symptom. It is suggested, taken together, these findings reflect that phase delay schedule facilitated the degree of adjustment to the shift work compared to the phase advance schedule.

• 한국전문물리치료학회지
• /
• 제23권2호
• /
• pp.57-66
• /
• 2016

Background: For the treatment of forward head posture (FHP) and forward shoulder posture, methods for strengthening scapular retractors and deep cervical flexors and stretching pectoralis and upper cervical extensors are generally used. No study has yet assessed whether suboccipital release (SR) followed by cranio-cervical flexion exercise (CCFE) (SR-CCFE) will result in a positive change in the shoulders and neck, showing a "downstream" effect. Objects: The purpose of this study was to investigate the immediate effects of SR-CCFE on craniovertebral angle (CVA), shoulder abduction range of motion (ROM), shoulder pain, and muscle activities of upper trapezius (UT), lower trapezius (LT), and serratus anterior (SA) and LT/UT and SA/UT muscle activity ratios during maximal shoulder abduction in subjects with FHP. Methods: In total, 19 subjects (7 males, 12 females) with FHP were recruited. The subject performed the fifth phase of CCFE immediately after receiving SR. CVA, shoulder abduction ROM, shoulder pain, muscle activities of UT, LT, and SA, and LT/UT and SA/UT muscle activity ratios during maximal shoulder abduction were measured immediately after SR-CCFE. A paired t-test and Wilcoxon signed-rank test were used to determine the significance of differences in scores between pre- and post-intervention in the same group. Results: The CVA (p<.001) and shoulder abduction ROM (p<.001) were increased significantly post-versus pre-intervention. Shoulder pain was decreased significantly (p<.001), and LT (p<.05) and SA (p<.05) muscle activities were increased significantly post- versus pre-intervention. The LT/UT muscle activity ratio was increased significantly post- versus pre-intervention (p<.05). However, there was no significant change in UT muscle activity and SA/UT muscle activity ratio between pre- and post-intervention (p>.05). Conclusion: SR-CCFE was an effective intervention to improve FHP and induce downstream effect from the neck to the trunk and shoulders in subjects with FHP.

• 대한치과교정학회지
• /
• 제42권6호
• /
• pp.280-290
• /
• 2012

Objective: This study aimed to compare the effects of conventional and orthodontic mini-implant (OMI) anchorage on tooth movement and arch-dimension changes in the maxillary dentition in Class II division 1 (CII div.1) patients. Methods: CII div.1 patients treated with extraction of the maxillary first and mandibular second premolars and sliding mechanics were allotted to conventional anchorage group (CA, n = 12) or OMI anchorage group (OA, n = 12). Pre- and post-treatment three-dimensional virtual maxillary models were superimposed using the best-fit method. Linear, angular, and arch-dimension variables were measured with software program. Mann-Whitney U-test and Wilcoxon signed-rank test were performed for statistical analysis. Results: Compared to the CA group, the OMI group showed more backward movement of the maxillary central and lateral incisors and canine (MXCI, MXLI, MXC, respectively; 1.6 mm, p < 0.001; 0.9 mm, p < 0.05; 1.2 mm, p < 0.001); more intrusion of the MXCI and MXC (1.3 mm, 0.5 mm, all p < 0.01); less forward movement of the maxillary second premolar, first, and second molars (MXP2, MXM1, MXM2, respectively; all 1.0 mm, all p < 0.05); less contraction of the MXP2 and MXM1 (0.7 mm, p < 0.05; 0.9 mm, p < 0.001); less mesial-in rotation of the MXM1 and MXM2 ($2.6^{\circ}$, $2.5^{\circ}$, all p < 0.05); and less decrease of the inter-MXP2, MXM1, and MXM2 widths (1.8 mm, 1.5 mm, 2.0 mm, all p < 0.05). Conclusions: In treatment of CII div.1 malocclusion, OA provided better anchorage and less arch-dimension change in the maxillary posterior teeth than CA during en-masse retraction of the maxillary anterior teeth.

• Journal of Acupuncture Research
• /
• 제29권4호
• /
• pp.7-18
• /
• 2012

Objectives : The purpose of this study is to evaluate the effects of Miso facial acupuncture on facial reduction and improvement of skin condition. Methods : From March to May 2012, 20 women in their twenties to forties with no facial diseases were recruited. Miso facial acupuncture was performed on the both side of their face twice a week, total seven times. The 3D face photographs of each participant were checked 5 times ; before treatment, after 1st treatment, 4th treatment, 7th treatment and 10 days from the last treatment using RS-400FL(Morpheus Co. Korea) and REAL FACE. The surface distances of the 4 lines on the face were measured using Renai MEF program. The improvement of skin condition was evaluated by water content, trans epidermal water loss(TEWL), erythema index and melanin index using MPA 5. They were checked 4 times ; before treatment, 4th treatment, 7th treatment and after 10 days from the last treatment. We analyzed data using Paired t-test(p<0.05) and Wilcoxon signed rank test(p<0.05). Results : One case was dropped out due to pain and edema after 4th treatment. The surface distances of the 4 lines on face were significantly reduced and maintained after 10 days from last treatment. Water content was significantly increased and maintained after 10 days from last treatment. TEWL was significantly decreased. Erythema index was significantly decreased from the 3rd evaluations. Melanin index was slight decreased with no significance at the 2nd evaluations. Conclusions : These results show that Miso facial acupuncture can reduce sizes of the face and improve skin condition such as water content, TEWL and erythema index except melanin index.

• 한국임상약학회지
• /
• 제13권2호
• /
• pp.82-90
• /
• 2003

Dopamine is an effective pressor for the treatment of shock and hypotension when patients do not respond to plasma volume expansion. Two dopamine intravenous delivery systems are currently available in Korea. The objective of this study was to compare dopamine premixed with prefilled system in terms of supply costs (preparation costs + personnel time), contamination rates and convenience. Time-and-motion studies were conducted to determine the time and costs associated with preparation and administration of the two systems. They were analyzed and compared by Mann-Whitney test. To evaluate the contaminaton rates of the two systems, both systems were prepared in an open environment similar to that of practical situations. Premixed and compounded solutions were then filtered by $0.22{\mu}m$ membrane filters, which were cultured at $37^{\circ}C$ for 10 days and their contents were visually checked for bacterial contamination. The convenience of the two systems was compared by itemized user assessments on preparation, dose calculation, admixture, administration and disposal of waste matters. They were analyzed by Wilcoxon's signed rank test and 100 part percentage. It was found that the preparation costs $(mean{\pm}SD)$ for premixed and prefilled systems were $271.70\pm293.55\;Won$ (Korean currency) and $1521.04\pm510.63\;Won$, respectively. The preparation time $(mean{\pm}SD)$ for premixed system was $68.10\pm35.69\;sec.$ while at for prefilled system was $154.03\pm50.06\;sec.$ (n=59 each, p<0.001). No bacterium was observed in the samples of both systems (n=20, each). User assessments indicated that the premixed system was more convenient than the prefilled system except for the item of dose calculation (n=24, p<0.001). Subjective evaluations have proven that the use of the dopamine premixed system resulted in increased efficiency of intravenous preparation by allowing personnel to devote more time to other labor-intensive duties and lower total medical costs.

• 한국산학기술학회논문지
• /
• 제19권2호
• /
• pp.293-301
• /
• 2018

본 연구는 다면재활프로그램이 산업재해근로자의 다차원 심리 변화와 역량강화, 직업복귀준비 및 작업능력에 미치는 효과를 알아보고자 하였다. 2017년 3월부터 9월까지 경남 창원에 위치하는 C병원에 입원한 산업재해근로자 12명을 대상으로 실시하였다. 다면재활프로그램으로는 주 2회 2시간씩 8주 동안 희망찾기프로그램과 주 5회 3~4시간씩 8주 동안 작업능력강화프로그램을 병행 실시하였다. 이 때 중재효과를 검증하기 위해서 다차원 심리검사, 역량강화척도, 직업복귀준비도 및 작업능력평가를 실시하여 윌콕슨부호순위검정으로 전 후 검사 결과를 비교하였다. 그 결과, 다차원 심리검사에서 불안, 우울, 신체화, 사회적 지지에서 유의하게 향상된 반면(p<.05), 분노에서는 유의한 차이가 없었다(p>.05). 역량강화척도와 직업복귀준비도에서는 유의미한 차이가 있었다(p<.05). 작업능력평가에서는 바닥에서 허리높이로 들기, 허리에서 어깨높이로 들기, 바닥에서 어깨높이로 들기, 옮기기, 밀기 및 당기기에서 모두 유의한 차이가 있었다(p<.05). 본 연구는 사회심리적 요소와 신체적 측면을 함께 고려한 다면재활프로그램이 산업재해근로자의 직업복귀에 있어서 다차원 심리의 긍정적인 변화, 역량강화, 직업복귀준비 및 작업능력에 효과적임을 알 수 있었고 직업재활의 효과적인 방법임을 제안한다.

• Journal of Acupuncture Research
• /
• 제24권6호
• /
• pp.37-44
• /
• 2007

Objectives : The purpose of this study is to find out the effects of Chuna treatment on neck pain caused by traffic accidents. Methods : The 10 patients were divided into 2 groups, with Group A treated with Acupuncture and Chuna, while group B was treated with Acupuncture only. We measured the Visual Analog Scale(VAS), Pain Disability Index(PDI) and Pressure Pain Thresholds before and after treatment in each group. The statistical analysis was performed by using a Mann-Whitney U test and Wilcoxon signed rank test. Results : 1. Group A showed significant improvements in VAS, PDI and Pressure Pain Thresholds(p<0.05). 2. Group B was significantly improved in VAS(p<0.05). However, there was no statistical significance in PDI and Pressure Pain Thresholds(p>0.05). 3. There was no statistical significance between Group A and Group B before and after treatment. Conclusions : These results imply that Chuna treatment with Acupuncture would beeffective and useful on the neck pain caused by traffic accidents.

• 한국전자거래학회지
• /
• 제22권1호
• /
• pp.15-35
• /
• 2017

공공사업 타당성 평가나 대안 선정에서는 대부분 AHP 기법을 활용하여 대안별 가중합 방식으로 최종 점수를 산정하고 그 값이 가장 큰 대안을 선택하고 있다. 특히 타당성 분석과 같은 경우에는 최종 점수가 0.5보다 큰 대안을 선택하게 되는데, 그 값이 0.5보다 얼마나 커야 의사결정이 의미있고 설득력있는 판단이라고 할 수 있는지에 대한 합리적인 기준 없이 적용되고 있다. 한국개발연구원(KDI)에서 제시한 방법론에는 사업진행 대안의 종합 점수가 0.5 근처에 있는 경우를 회색 영역으로 구분하여 신중한 결정을 하도록 제시하고 있는데, 세부기준에 관한 이론적 검토는 빈약하다. 반면, 통계적 검정의 개념을 도입하여 시도된 분석사례에서는 가중합 평가 점수의 확률분포로서 정규분포 또는 베타분포를 가정하였으나, 이에 대한 분포적 타당성은 제시되지 않았다. 본 논문에서는 현재 다양한 분야에서 적용되고 있는 가중합 평가 방식의 사례를 검토하여 그 결과의 통계적 검정의 필요성을 제기하고, 통계적 검정을 위하여 특정 분포를 가정하지 않는 비모수적 검정 방법을 제시한다. 그리고 본 연구에서 제시한 방법을 국방 분야의 사례에 적용하고 그 함의와 함께 향후 연구의 발전방향을 제안한다.