• Title/Summary/Keyword: Wilcoxon signed rank test

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Effects of the Abbreviated Cognitive Behavioral Therapy for Chronic Insomniacs (만성불면증 환자에게 적용한 단기 인지행동중재의 효과)

  • Choi, Su-Jung;Yi, Young-Hee
    • Journal of Korean Critical Care Nursing
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    • v.1 no.1
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    • pp.19-31
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    • 2008
  • Purpose: This study was conducted to exam the effects of the Abbreviated Cognitive Behavioral Therapy(ACBT) on chronic insomnia. Methods: Study was one-group interrupted time series study that involved 13 adults(mean age=51.7, aged 25-77 years) with chronic primary insomnia who visited sleep disorder clinic of S Hospital from November 2004 to October 2005. The subjects received 2-session individual ACBT with 2 week-interval($1^{st}$: 1.5- 2hrs, $2^{nd}$: 20-30min). To measure the subjective insomnia severity and sleep patterns, 3 times of insomnia severity index and sleep logs were completed(before ACBT, after ACBT, and 3-month after ACBT). The main outcomes were subjective insomnia severity and sleep patterns(sleep onset latency, waking after sleep onset, and total sleep time, sleep efficiency). The data were analyzed with SPSS 10.0 version program by Friedman test, Wilcoxon signed rank test with Bonferroni correction. Results: There were statistically significant decrease in insomnia severity index, sleep onset latency, and waking after sleep onset, and increase total sleep time and sleep efficiency. Conclusion: ACBT was effective in reducing subjective insomnia severity and improving sleep patterns. Sleep improvement was better sustained over time with ACBT.

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Three-dimensional symmetry and parallelism of the skeletal and soft-tissue poria in patients with facial asymmetry

  • Kim, Min-Gun;Lee, Jin-Woo;Cha, Kyung-Suk;Chung, Dong-Hwa;Lee, Sang-Min
    • The korean journal of orthodontics
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    • v.44 no.2
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    • pp.62-68
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    • 2014
  • Objective: The purpose of this study was to examine the symmetry and parallelism of the skeletal and soft-tissue poria by three-dimensional (3D) computed tomographic (CT) imaging. Methods: The locations of the bilateral skeletal and soft-tissue poria in 29 patients with facial asymmetry (asymmetric group) and 29 patients without facial asymmetry (symmetric group) were measured in 3D reconstructed models of CT images by using a 3D coordinate system. The mean intergroup differences in the anteroposterior and vertical angular deviations of the poria and their anteroposterior and vertical parallelism were statistically analyzed. Results: The symmetric and asymmetric groups showed significant anteroposterior angular differences in both the skeletal and the soft-tissue poria (p = 0.007 and 0.037, respectively; Mann-Whitney U-test). No significant differences in the anteroposterior and vertical parallelism of the poria were noted ($p{\leq}0.05$; Wilcoxon signed-rank test). Conclusions: In general, the skeletal poria are parallel to the soft-tissue poria. However, patients with facial asymmetry tend to have asymmetric poria.

Effects of Virtual Reality Exercise Program after Applying Taping and Microwave on Balance with Functional Ankle Instability (테이핑과 극초단파를 적용 후 가상현실 운동 프로그램이 기능적 발목 불안정성 균형에 미치는 효과)

  • Jeong, Chanjoo;Kim, Kijong;Yang, Hoesong;Yoo, Youngdae
    • Journal of The Korean Society of Integrative Medicine
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    • v.5 no.3
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    • pp.63-70
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    • 2017
  • Purpose : The purpose of this study was to investigate the effects of the virtual reality exercise program on ankle balance with ankle taping or microwave. Methods : This study was performed on 18 subjects. Eighteen subjects were divided into two groups; conducted virtual reality exercises with taping (n=9), and performed virtual reality exercises after microwave application (n=9). Both groups performed the exercise three times a week for four weeks. The data was analyzed by the Wilcoxon signed-rank test for comparing before and after changes of factors in each group and performed the Mann-Whitney test for comparing groups. Result : Taping and microwave groups were increased dynamic balance after virtual reality exercises (p<.05). There was no significant difference in balance after applying taping and microwave for virtual reality exercises (p<.05). Conclusion : Reducing the frequency of recurrent ankle sprain in functional ankle subjects, it is recommended to perform virtual reality exercise after applying taping and microwave.

Effect of Telephone Follow-up on Blood Glucose Improvement of Diabetes Mellitus Patients with Depressive Symptoms (전화추후관리가 우울성향을 가진 당뇨병 환자의 혈당개선에 미치는 효과)

  • Song, Min-Sun;Kim, Hee-Seung;Lee, Dong-Han
    • Journal of Korean Biological Nursing Science
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    • v.8 no.2
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    • pp.29-39
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    • 2006
  • The aim of this study was to examine the effect of telephone follow-up on glycemic control, lipid profiles. and treatment method in diabetic patients with depressive symptoms over one year follow-up period. Twenty-two diabetic patients attended the structured diabetes education program between March 2004 and February 2005 and completed a questionnaire using the Beck Depression Inventory(BDI) to measure depressive symptoms. The patients showed depressive symptoms with the criterion being a BDI score at least 16. The intervention was applied to the telephone follow-up for one year. Data were analyzed using Wilcoxon signed rank test and McNemar test. The patients decreased their mean glycosylated hemoglobin(HbAlc) levels by 1.9%(p=0.001). There was a significant mean change in the fasting blood sugar(FBS) level, with a mean change of -61mg/$d{\ell}$(p=0.008). These findings indicated that the telephone follow-up may be effective in the HbAlc and FBS control.

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Cases Report about Vascular Dementia Treated with Bojungikki-tang-gamibang (보중익기탕가미방을 투여한 혈관성 치매 환자 증례군 보고)

  • Kim, Dae-Jun;Park, Mee-Yeon
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.25 no.1
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    • pp.144-148
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    • 2011
  • The purpose of this case series was to investigate the effectiveness of Bojungikki-tang-gamibang for vascular dementia. The case subjects were nine patients who were diagnosed as vascular dementia by Mini-Mental State Examination-Korean (MMSE-K) and Hachinski's ischemic score. They were inpatients at the Kumi Oriental Medical Hospitalof Daegu Haany University from February in 2008 to Aprile in 2009. They were treated with Bojungikki-tang-gamibang. Results of before and after therapy were evaluated and scored using Korean-version Dementia Rating Scale (K-DRS). The results were analyzed using statistical methods, such as Wilcoxon signed rank test and Mann-Whitney U test. The study showed that the K-DRS score significantly increased after treatment (P<0.05). In summary, this cases report suggests that Bojungikki-tang-gamibang appears to be effective in the treatment of vascular dementia.

Health Promoting Behavior and Perceived Health Status of Nursing College Students: A Longitudinal Study (간호대학생의 건강증진행위와 건강상태 인지 변화에 대한 종단적 연구)

  • Lee, Suk Jeong;Baek, Hee Chong
    • Journal of the Korean Society of School Health
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    • v.28 no.3
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    • pp.220-228
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    • 2015
  • Purpose: The purpose of this study is to investigate changes in health promoting life style and weight control behavior among nursing students during their two years of college, and to identify the relationship between the changes and their perceived health status. Methods: The subjects were 264 female students in a three-year nursing college in Seoul, Korea. Data was analyzed by paired t-test, Wilcoxon signed-rank test, and multiple logistic regression using SPSS ver.21. Results: Of the six sub-categories regarding health promoting life style, five except spiritual growth showed improvement after two years, but their perceived health status did not change significantly. The number of students who engaged in weight control behavior increased, but there was no change in the number of students who engaged both in weight control and in diet. The group which recorded high scores in perceived mental health status showed 1.2 times greater positive changes in health promoting lifestyle (OR=1.202, p=.023). Conclusion: The results showed although health promoting behavior changed positively throughout the nursing curriculum, physical activities were still low and few students used constructive methods to control their weight. Therefore, it is recommended that nursing colleges build specific programs into their curriculum to correct students' undesirable health promoting behavior.

Impact Assessment of First Wave of Covid-19 Pandemic on Goods and Services Tax (GST) Revenue Collection & Distribution in India

  • NAIK, Dr. Maithili;HALDANKAR, Gajanan B.
    • Journal of Distribution Science
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    • v.19 no.10
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    • pp.43-54
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    • 2021
  • Purpose: The restrictions posed by the COVID-19 pandemic have affected the normal functioning of the economy. A country like India is facing a lot of concerns in all its sectors especially, in its fiscal system. This paper makes an attempt to examine the impact of COVID-19 first wave on Goods and Service Tax revenue collection and distribution in India and also studies the impact of COVID-19 first wave on the state wise GST revenue of the country. Research Design, Data and Methodology: Our study is based on published GST revenue data. Tools such as Paired Sample t-test, Wilcoxon signed rank test are employed to analyze the data. Results: Our results provide evidence that there is a sharp decline in the GST revenue in the months after the lockdown announcement. The large states show no significance impact of COVID-19 pandemic on GST collection. Whereas, small states like Manipur and Goa show significant difference in GST revenue collection & distribution between the pre and post lockdown period. Conclusion: The outcome of this study will help the policymakers to analyze the extent of the GST revenue loss to the government treasury and will allow them to take appropriate measures in the future.

Reconstruction of extended orbital floor fracture using an implantation method of gamma-shaped porous polyethylene

  • Hwang, Woosuk;Kim, Jin Woo
    • Archives of Craniofacial Surgery
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    • v.20 no.3
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    • pp.164-169
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    • 2019
  • Background: The conventional surgical method for reconstructing orbital floor fractures involves restoration of orbital continuity by covering an onlay with a thin material under the periorbital region. However, in large orbital floor fractures, the implant after inserting is often dislocated, leading to malposition. This study aimed to propose a novel implanting method and compare it with existing methods. Methods: Among patients who underwent surgery for large orbital floor fractures, 24 who underwent the conventional onlay implanting method were compared with 21 who underwent the novel ${\gamma}$ implanting method that two implant sheets were stacked and bent to resemble the shape of the Greek alphabet ${\gamma}$. When inserting a ${\gamma}$-shaped implant, the posterior ledge of the orbital floor was placed between the two sheets and the bottom sheet was impacted onto the posterior wall of the maxilla to play a fixative role while the top sheet was placed above the residual orbital floor to support orbital contents. Wilcoxon signed-rank test and Mann-Whitney U test were used for data analyses. Results: Compared to the conventional onlay method, the gamma method resulted in better restoration of orbital contents, better improvement of enophthalmos, and fewer revision surgeries. Conclusion: Achieving good surgical outcomes for extended orbital floor fractures is known to be difficult. However, better surgical outcomes could be obtained by using the novel implantation method of impacting a ${\gamma}$-shaped porous polyethylene posteriorly.

Validation of three-dimensional digital model superimpositions based on palatal structures in patients with maximum anterior tooth retraction following premolar extraction

  • Liu, Jing;Koh, Kyong-Min;Choi, Sung-Hwan;Kim, Ji-Hoi;Cha, Jung-Yul
    • The korean journal of orthodontics
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    • v.52 no.4
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    • pp.258-267
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    • 2022
  • Objective: This study aimed to evaluate the superimposition accuracy of digital modes for measuring tooth movement in patients requiring anterior retraction after premolar extraction based on the proposed reference regions. Methods: Forty patients treated with bilateral maxillary first premolar extraction were divided into two groups: moderate retraction (< 7.0 mm) and maximum retraction (≥ 7.0 mm). Central incisor displacement was measured using cephalometric superimpositions and three-dimensional (3D) digital superimpositions with the 3rd or 4th ruga as the reference point. The Wilcoxon signed-rank test and linear regression analyses were performed to test the significance of the differences and relationships between the two measurement techniques. Results: In the moderate retraction group, the central incisor anteroposterior displacement values did not differ significantly between 3D digital and cephalometric superimpositions. However, in the maximum-retraction group, significant differences were observed between the anteroposterior displacement evaluated by the 3rd ruga superimposition and cephalometric methods (p < 0.05). Conclusions: This study demonstrated that 3D digital superimpositions were clinically as reliable as cephalometric superimpositions in assessing tooth movements in patients requiring moderate retraction. However, the reference point should be carefully examined in patients who require maximum retraction.

Application and Effectiveness of a Program to Promote Adolescent Musculoskeletal Health: A Pilot Study

  • Min, Deulle;Han, Chang-Sook;Kim, Hyo-Kyung;Kim, Suhee
    • Journal of Korean Public Health Nursing
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    • v.36 no.2
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    • pp.265-281
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    • 2022
  • Purpose: Adolescence is a developmental period characterized by the rapid growth of the musculoskeletal system, which is important for maintaining correct posture. Incorrect posture, lack of exercise, and reduced physical activity can cause spine deformities and affect lifelong health. This study was designed to evaluate the application and effect of a program for improving adolescents' musculoskeletal health. Methods: A quasi-experimental pilot study was conducted with 13 male and 20 female middle and high school students, with an average age of 15.39 years. Their general characteristics and physical measurements were obtained. The program consisted of group exercises (60 minutes, once per week), gait pattern monitoring, and online communication. A paired t-test and Wilcoxon signed-rank test were used to examine the program's effect. Results: Overall posture habits improved, and the total musculoskeletal index decreased; however, these results were not statistically significant. Conclusions: The devised program was effective in improving musculoskeletal imbalance. Therefore, effective programs and health devices should be developed to help adolescents maintain correct posture and encourage and support continuous participation in such programs.