• 한방재활의학과학회지
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• 제25권4호
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• pp.105-112
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• 2015

Objectives To investigate clinical effects of needle embedding acupuncture treatments for chronic low back pain patients. Methods 30 patients with chronic low back pain were recruited and randomized into two groups-the embedding acupuncture group or the placebo. At baseline, the age, height, weight, visual analogue scale (VAS), Oswestry disability index (ODI) scores were measured. And surface electromyography (SEMG) data of both erector spinae at L2, L4 level were also measured on both groups and asymmetry index (AI) were calculated. The embedding or placebo acupuncture treatment was performed on the erector spinae according to SEMG values; immediately after the first evaluation and 48 hours after the first visit. After 96 hours of intervention, the VAS, ODI score and SEMG of both erector spinae were measured again. Statistical significance was determined using the Wilcoxon signed ranks test or the Wilcoxon rank sum test. Results The mean VAS, ODI score after treatment was decreased significantly compared with baseline on both groups. And the VAS, ODI score and AI of the embedding acupuncture group was more decreased significantly than the placebo (p<0.05). Conclusions The results suggest that embedding acupuncture for chronic low back pain patients was effective on the VAS pain score, ODI score and AI of the erector spinae.

• 한방재활의학과학회지
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• 제25권4호
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• pp.93-103
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• 2015

Objectives The purpose of this study is to compare the effects of ultra sound (U/S) and chuna on lumbago by meridian muscle electrography (MMEG). we performed U/S and chuna on erector spinae muscle. Methods This study was carried out on 20 lumbago patients. 20 patients were divided into U/S group and chuna group. U/S group take treatment 5 minutes. Chuna group take treatment 10 minutes. After performing U/S and chuna treatment 6 times, we compared both in terms of VAS, ODI, ROM, root mean square (RMS) and special edge frequency (SEF) on erector spinae muscle. The effect of each treatments are compared by Wilcoxon's signed rank test. The difference of effect between both groups are compared by Wilcoxon's rank-sum test. Results 1. Both U/S group and chuna group showed significant improvement in VAS and ODI after treatment. 2. U/S group showed insignificant improvement in both RMS and SEF. 3. Chuna group showed significant improvement in SEF at left lower point and RMS at left upper point. 4. Both U/S group and chuna group showed insignificant improvement in ROM. 5. There are no significant differences between both groups except SEF at left upper point. Conclusions According to above results, we found out that performing U/S or chuna on erector spinae muscle has effect in terms of VAS and ODI. But, in terms of SEF, we found out different result for both side. And we can't found out effect in terms of RMS and ROM of L-spine.

• 한국사회복지학
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• 제44권
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• pp.146-177
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• 2001

One of the difficulties of female-headed families face is economic hardship. Low-income single mothers work long hours, become isolated and feel burdened for dual roles. And many of them don't have relatives to share parenting roles. As a result, children of low-income female-headed families are easy to be neglected and left to form a delinquency-prone group in neighborhood. Traditionally, it has been viewed that children in female-headed families have problems due to the loss of father role. However, study indicates that these children can adjust well if the relationship between mothers and children is consistent and adequate. An Intervention program for low-income female-headed elementary children was developed and delivered in two community social welfare centers. The purpose of the program is to raise self-esteem. Two goals were 1) management of daily living habits and 2) improvement of family relations. Social workers maintained contact with mothers to talk about children's behaviors and to prompt hugging and touching. In addition, workers helped children to form good relationships with peers and school teachers. Children were satisfied with the program. Their family relations were improved statistically significantly after the program(wilcoxon signed rant test z=-2.934 p<.05). However, their self esteem were not improved significantly (wilcoxon signed test z=-1.173 p>.05). Qualitative analysis of each children were also discussed. The implications of the study are the followings: Intervention programs need to be delivered separately for low-grade and high grade elementary children because they have different developmental needs. The program also need to include education on sex and marriage as well as aggression reduction. Society needs to provide more support to single mothers for their personal and parenting needs.

• 융합정보논문지
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• 제10권1호
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• pp.195-202
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• 2020

본 연구는 바이오피드백 시스템을 활용한 하지 근력 강화 운동이 지역사회기반 노인에게 어떠한 영향이 있는지 알아본 연구이다. 지역사회기반 노인 10명을 대상으로 주 3회, 6주 동안 바이오피드백 시스템(기능적 전기 자극 동반)을 활용하여 운동을 실시하였다. 데이터 분석은 Wilcoxon signed rank test를 사용하였다. 본 연구 결과 신체 기능은 유의하게 좋아졌으나 근력 및 근육량에서는 유의한 차이가 없었다. 노인들도 지역사회기반 ICT 활용 가정 바이오피드백 훈련이 가능하며, 하지 기능 개선을 유도할 수 있음을 확인할 수 있었지만, 대상자수 확대, 성별 구분, 개인 맞춤형 훈련 방식 제공 등으로 보다 명확한 효과를 입증할 수 있도록 추가적인 연구가 필요하다.

• The Journal of Advanced Prosthodontics
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• 제5권2호
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• pp.179-186
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• 2013

PURPOSE. One of the most important factors in evaluating the quality of fixed dental prostheses (FDPs) is their gap. The purpose of this study was to compare the marginal and internal gap of two different metal-ceramic crowns, casting and selective laser sintering (SLS), before and after porcelain firing. Furthermore, this study evaluated whether metal-ceramic crowns made using the SLS have the same clinical acceptability as crowns made by the traditional casting. MATERIALS AND METHODS. The 10 study models were produced using stone. The 20 specimens were produced using the casting and the SLS methods; 10 samples were made in each group. After the core gap measurements, 10 metal-ceramic crowns in each group were finished using the conventional technique of firing porcelain. The gap of the metal-ceramic crowns was measured. The marginal and internal gaps were measured by two-dimensional and three-dimensional replica techniques, respectively. The Wilcoxon signed-rank test, the Wilcoxon rank-sum test and nonparametric ANCOVA were used for statistical analysis (${\alpha}$=.05). RESULTS. In both groups, the gap increased after completion of the metal-ceramic crown compared to the core. In all measured areas, the gap of the metal cores and metal-ceramic crowns produced by the SLS was greater than that of the metal cores and metal-ceramic crowns produced using the casting. Statistically significant differences were found between cast and SLS (metal cores and metal-ceramic crown). CONCLUSION. Although the gap of the FDPs produced by the SLS was greater than that of the FDPs produced by the conventional casting in all measured areas, none exceeded the clinically acceptable range.

• Journal of the Korean Data and Information Science Society
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• 제23권4호
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• pp.703-715
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• 2012

본 연구는 12주간 복합운동프로그램이 비만 중년여성들의 대사증후군 지표와 건강 체력에 미치는 영향을 알아보기 위한 것으로 최근 6개월 이내에 규칙적으로 운동에 참여하지 않는 비만 중년여성 22명을 임의로 선정하였다. 본 연구의 자료분석을 위한 통계프로그램은 SPSS 18.0을 이용하여 모든 종속변인의 평균값과 표준편차를 산출하였으며, 12주 전 후 집단 내 변인들의 변화를 알아보기 위해 윌콕슨의 부호순위 검정을 실시하였고, 각 분석에서의 통계적인 유의수준은 p<.05로 설정하였다. 본 연구에서 실시한 12주간 복합운동프로그램은 비만 중년여성의 대사증후군 지표와 건강체력에 긍정적인 효과를 미친 것으로 나타났다. 따라서 향후 비만 중년여성의 건강관리와 체력향상을 위하여 신체적 여건, 체력수준, 사회 경제적 상황을 충분히 고려한 다양한 수준의 운동프로그램 개발에 노력해야 할 것이다.

• 디지털융복합연구
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• 제17권3호
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• pp.331-340
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• 2019

본 연구의 목적은 병리학 교과목에 부분 적용한 학습자질문중심학습법이 간호대학생의 학습동기, 의사소통, 문제해결능력에 미치는 효과를 파악하는 것이다. 일개 대학 간호학과 2학년 106명을 대상으로 단일군 사전사후 설계를 적용하여 본 연구를 수행하였다. 수집된 자료는 SPSS 20.0 프로그램을 활용하여 Wilcoxon-signed rank test로 분석하였다. 연구 결과 학기 초에 비하여 학기 말에 의사소통과 문제해결능력이 유의하게 향상되었으며, 학습동기의 하위 항목인 주의력과 만족도도 유의하게 향상된 것을 알 수 있었다. 본 연구 결과는 학습자질문중심학습법이 간호대학생의 의사소통과 문제해결능력 향상에 효과적인 방법이 될 수 있음을 보여주었다. 앞으로 이와 같은 간호대학생의 핵심 역량을 계발하기 위해 다양한 전략이 융합된 교수학습방법의 개발 및 적용이 필요하다.

• Safety and Health at Work
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• 제9권4호
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• pp.381-387
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• 2018

Background: Physician behaviors that undermine a culture of safety have gained increasing attention as health-care organizations strive to create a culture of safety and reduce medical errors. We developed, implemented, and assessed a course to teach physicians skills regarding effective coping and interpersonal communication skills and present our results regarding outcomes. Methods: We examined a professional development program specifically designed to address unprofessional or distressed behaviors of physicians, and we evaluated the impact on burnout, quality of life, and emotional flooding scores of the physicians. Assessments of burnout, quality of life, and emotional flooding were assessed preintervention and postintervention. Results: Results demonstrated statistically significant reductions over time in physicians' emotional flooding and emotional exhaustion (EE). Specifically, using a Wilcoxon Signed-Rank test, results revealed that flooding scores at follow-up were statistically significantly lower than at baseline, V = 590, p < 0.05, and EE and personal accomplishment distributions were found to significantly deviate from normal as indicated by Shapiroe-Wilks tests (p < 0.05). A Wilcoxon signed-rank test indicated that EE scores were significantly higher at baseline compared to follow-up 1, V = 285, p < 0.05. Conclusion: We conclude that the physician participants who enrolled in the educational skills training program improved scores on emotional flooding and EE and that this may be indicative of improved skills related to their experiences and learning in the program. These improved skills in physicians may have a positive impact on the overall culture of safety in the health system setting.

• 융합정보논문지
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• 제11권1호
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• pp.254-260
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• 2021

본 연구는 작업 기반 회상훈련이 비치매노인의 인지기능과 우울, 삶의 질에 미치는 영향을 알아보고자 실시되었다. 대상자는 비치매노인 19명이었다. 평가는 한국형 몬트리올 인지평가, 단축형 한국판 노인우울척도검사, 노인 삶의 질 척도를 이용하여 평가하였다. 작업 기반 회상훈련은 주 1회 한시간씩 총 8주간 진행되었다. 수집된 자료는 Wilcoxon signed test를 이용하여 결과를 확인하였다. 훈련 결과 작업 기반 회상훈련의 적용 이후 대상자들의 인지기능, 우울, 삶의 질의 유의미한 긍정적 변화를 확인할 수 있었다. 본 결과를 통해 작업 기반 회상훈련이 비치매노인들의 인지기능 증진과 치매예방에 긍정적인 훈련방법임을 확인 할 수 있었다.

• 한국융합학회논문지
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• 제12권11호
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• pp.143-154
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• 2021

본 연구는 학교부적응 청소년을 대상으로 집단미술치료 프로그램을 적용하여 자아존중감과 스트레스에 미치는 효과를 알아보는데 목적이 있다. 연구대상은 A지역 B중학교 2학년에 재학 중인 학교부적응 청소년 6명이며, 기간은 2021년 5월 12일 부터 6월 9일까지 주 2회, 회기당 60분씩 총 10회기 진행하였다. 연구 도구는 자아존중감 척도(SEI)와 빗속의 사람그림(PITR)검사의 사전·사후 변화를 살펴보았다. 자료 분석은 자아존중감의 변화를 살펴보기 위해 Wilcoxon test를 실시하였고 빗속의 사람그림(PITR)검사의 변화는 미술치료전문가 2명이 질적으로 분석하였다. 본 연구의 결과는 첫째, 집단미술치료 프로그램은 학교부적응 청소년의 자아존중감 향상에 효과적이었다. 둘째, 집단미술치료 프로그램은 학교부적응 청소년의 스트레스 감소에 효과적이었다. 결론적으로 집단미술치료는 학교부적응 청소년의 자아존중감 향상과 스트레스 감소에 도움을 주어, 학교부적응 청소년의 심리적 안정감을 도모하는데 효과적임이 입증되었다.