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Effects of Behavior Modification on Obesity Index, Skinfold Thickness, Body Fat9 Serum Lipids, Serum Leptin in Obese Elementary School Children (행동요법이 중ㆍ고도 비만아동의 비만도, 피부두께, 지방량, 혈중지질농도 및 렙틴농도에 미치는 효과)

  • 김효신
    • Journal of Korean Academy of Nursing
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    • v.33 no.3
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    • pp.405-413
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    • 2003
  • Purpose: This study was performed to investigate effects of behavior modification on obesity index, skinfold thickness, body fat, serum lipids, serum leptin in obese elementary school children. Method: Forty seven students were selected from two elementary schools. Twenty four children in one school were assigned to experimental group and twenty three children in another school were assigned to control group. Experimental group was received 60~70 minutes of behavior modification once a week for 8 weeks. Result: Obesity index of the experimental group was significantly decreased after behavior modification. But there was no significant difference between two groups. The increase of skin fold thickness was significantly low in the experimental group compared to the control group. Percentage of body fat and fat mass were significantly decreased in the experimental group. Fat free mass was significantly increased in the experimental group. HDL-C, triglyceride and serum leptin between the experimental group and control group showed no significant difference. Conclusion: These results indicate that behavior modification is effective in decreasing percentage of body fat and fat mass, in less increasing skinfold thickness and in increasing fat free mass. In conclusion, behavior modification can be used as effective strategy for managing obesity in elementary school children.

Effects of '5&6 Smoking Cessation Program' on Perception, Behavior, and Physiology of high school smokers (5&6 금연프로그램이 흡연 고교생의 인지적, 행위적, 생리적 특성에 미치는 효과)

  • Lim, Eun-Sun;Lee, Chung-Yul;Lee, Young-Ja;Kim, Jung-Ae
    • Korean Journal of Health Education and Promotion
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    • v.24 no.4
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    • pp.115-130
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    • 2007
  • Purpose: The Purpose of this study was to investigate the effects of the '5&6 smoking cessation program - six classes in five weeks' on the high school students' perception and smoking behavior. Methods: The data collection was done from November to December, 2006. This study was designed using nonequivalent control group pretest - posttest. Experimental group had 24 students, control group had 41 students. The '5&6 smoking cessation program' was applied to the experimental group for two hours per session during five weeks. Data analysis was done using descriptive statistics, X2-test, Fisher's exact test, Independent-samples t-test, Paired t-test, Cronbach's coefficient alpha. Results: The experimental group showed significant increase on smoking self-efficacy, stage of smoking cessation behavior change and significant decrease on daily smoking amount, dependancy of nicotine, urine cotinine level than control group. But the experimental group was not significantly changed at self-awareness, Pros. for smoking and Cons. for smoking. Conclusion: In conclusion, the results of this study showed that the 5&6 smoking cessation program, which focuses on self-awareness, is effective in adolescent's smoking cessation behaviors.

Effects of Cervical Exercise with Sling Program on Sleep Disturbance and Headache, Neck Disfunction in Torture of Survivor : Single Case Study (슬링을 이용한 경부관절 운동이 고문생존자의 수면장애, 두통, 경부 기능장애에 미치는 영향 : 단일사례연구)

  • Yu, Seonghun
    • Journal of The Korean Society of Integrative Medicine
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    • v.5 no.1
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    • pp.11-18
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    • 2017
  • Purpose : The purpose of this case study was to clinical effects of cervical exercise with sling program using on torture of survivor with sleep disturbance and Headache, neck disfunction. Methods : This study selects 1 subjects for 55 years old who were diagnosed with torture of survivor with sleep disturbance and headache. The Design is ABA of single-subject study design. Baseline(A) and TypeII Baseline(A : 6weeks) phases were received with musculoskeletal disease of prevention education, Intervention(B : 6weeks) phase provided with 65 minute exercise with sling program using in a session twice a week. In order to analyze the measure results of PSQI-K(korean version of the pittsburgh sleep quality index), VAS(visual analog scale), NDI(neck disability index), FABQ(fear-avoidance beliefs questionnaire) in torture of survivor during baseline, intervention and typeII baseline phase. Result : A significant differences in PSQI-K during baseline, intervention, typeII baseline. A significant differences in VAS during baseline, intervention, typeII baseline. A significant differences in NDI during baseline, intervention, typeII baseline. A significant differences in FABQ during baseline, intervention, typeII baseline. Conclusion : In conclusion, The intervention method to applied cervical exercise with sling program on torture of survivor effectively improve on sleep disturbance and neck function, headache.

Study of the New Patients of Acupuncture and Moxibustion Department in Dongeui Oriental Medical Hospital. (주소증(主訴症)으로 본 침구과(鍼灸科) 초진환자(初診患者)의 분석(分析))

  • Kim, Su-Min;Jung, Kyoung-Keun;Lee, Kyoung-Hee;Kwon, Mi-Jung;Jang, Kyung-Jun
    • Journal of Pharmacopuncture
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    • v.10 no.3
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    • pp.101-112
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    • 2007
  • Purpose In order to profits to investigator who want to know acupuncture and moxbustion treatments are available to what symptoms today and how goes on the clinical lecture for oriental medical students, this research was carried out. Methods The following conclusion were derived from 745 of patients who treated in acupunture & moxibustion department of Dongeui Oriental Medical hospital from the July in 2006 till January in 2007. Results 1. There were 203(27.25%) persons of Lumbago, 101(13.56%) persons of Bel's palsy, 94(12.62%) persons of Omalgia, 80(10.74%) persons of paralysis of limb, 74(9.94%) persons of disordinary sense of limb and etc. 2. There were 395 females(53.02%) and 350 males(46.98%). 3. The patients over 60th were 26.72%, the 50th were 23.08%, the 40th were 22.14%, the 30th were 15.44%, 20th were 8.45%. So the older the more patients. Conclusion In accordance with the above results, acupuncture & moxibustion teatments are good to use degenerative musculoskeletal disease, pain, paralysis and etc.

Impact of Waist Stabilization Exercise with Blood Flow Restriction on White Area Index of Trunk Muscle Thickness Density

  • Park, jae-Cheol;Kim, Yong-Nam
    • The Journal of Korean Physical Therapy
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    • v.28 no.2
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    • pp.136-141
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    • 2016
  • Purpose: In this study experiments were performed during 6 weeks with 40 adults, 20 subjects in the waist stabilization exercise with blood flow restriction group and 20 subjects in the waist stabilization exercise without blood flow restriction group, in order to determine the impact of waist stabilization exercise on White Area Index (WAI) followed by blood flow restriction. Methods: Thickness of external oblique abdominal muscle, internal oblique abdominal muscle, and transversus abdominis muscle, as well as density and WAI of external oblique abdominal muscle were measured, followed by performance of repeated ANOVA. Results: Significant difference in thickness of external oblique abdominal muscle according to periodical difference was observed between groups (p<0.05). Significant difference in thickness of internal oblique abdominal muscle and transversus abdominis muscle according to periodical difference was observed between groups (p<0.05). Significant difference in density and WAI of external oblique abdominal muscle according to periodical difference was observed between groups (p<0.05). Conclusion: In conclusion, significant difference was observed after waist stabilization exercise with blood flow restriction. These results can be used as basic data for future research on waist stabilization exercise and blood flow restriction exercise.

Weighting of Acute Myocardial Infarction Quality Indicators using Delphi Method (델파이기법을 이용한 급성심근경색증 질 평가지표 가중치 부여)

  • Kim, Hyung Seon;Cho, Yeon Hee
    • Journal of Korean Public Health Nursing
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    • v.28 no.3
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    • pp.565-573
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    • 2014
  • Purpose: Health Insurance Review & Assessment Service (HIRA) launched an Acute Myocardial Infarction(AMI) assessment for the Payment For Performance(Quality Incentives) Pilot Project from July 2007. Assessment measures of AMI were composed of five process measures and one outcome measure, and each measure was incorporated into one composite quality score to Pay for Performance. Method: For calculation of composite quality score, we considered weighting for the measures using the Delphi method. The questionnaire was composed of three measure groups, 'Reperfusion rate'(Fibrolytic therapy received within 60 minutes of hospital arrival, Primary Percutaneous Coronary Intervention within 120 minutes of hospital arrival), 'Medication prescription rate'(Aspirin at arrival, Aspirin prescribed at discharge, Beta-blocker prescribed at discharge) and 'Survival Index'(30-day mortality rate). Result: A panel composed of 18 and completed a questionnaire by allocation of 10 scores to the three above mentioned measure groups. The Delphi was carried out until three rounds of surveys. In conclusion, each measure group was weighted differently and the 10 scores were allocated as 4.5 to 'Reperfusion rate', 2.5 to 'Medication prescription rate', and 3.0 to 'Survival Index'. Conclusion: The results of this study proposed the calculation method for weighting of Acute Myocardial Infarction quality indicators.

The Effects of Team-Based Learning on Problem Solving Ability, Critical Thinking Disposition and Self-Directed Learning in Undergraduate Nursing Students (팀기반학습(Team-Based Learning)이 간호학생의 문제해결능력과 비판적사고 및 자기주도학습에 미치는 효과)

  • Choi, Kyung Ock;Park, Young Mi
    • Journal of East-West Nursing Research
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    • v.20 no.2
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    • pp.154-159
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    • 2014
  • Purpose: The purpose of this study was to examine the effects of team-based learning (TBL) program on problem solving ability, critical thinking disposition and self-directed learning in junior nursing students caring for patients with respiratory diseases. Methods: One-group pretest-posttest design was used. TBL program was carried out for 2 hours a week for 6 weeks. Data were collected by questionnaires from 167 nursing students from March 6 to June 5, 2013. Data were analyzed by paired t-test and Pearson correlation coefficient. Results: At the completion of TBL program, significant improvement was found in problem solving ability (t=-6.04, p<.001), critical thinking disposition (t=5.02, p<.001) and self-directed learning (t=5.96, p<.001). There was a significant positive correlation among problem solving ability, critical thinking disposition and self-directed learning. Conclusion: In conclusion, TBL is a useful teaching and learning method on nursing students. We suggest that it is needed to measure the educational effects of TBL against other teaching methods in the future studies.

Adjustment of Middle-aged People with Hemiplegia after a Stroke (뇌졸중 후 편마비를 가진 중년기 환자의 적응과정)

  • Lee Hwa-Jin;Yi Myung-Sun
    • Journal of Korean Academy of Nursing
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    • v.36 no.5
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    • pp.792-802
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    • 2006
  • Purpose: The purpose of this study was to understand the adjustment process of middle-aged people in Korea with hemiplegia after a stroke. Method: For this study, the grounded theory method was utilized. Results: After constant comparative analysis, the core category emerged as 'rebuilding the body which was ruined'. In addition, the causal conditions were 'restriction of physical function', and 'loss of roles'. The adjustment process consisted of the 'facing reality phase', 'overcoming depression phase', 'overcoming physical limits phase' and 'reestablishing roles phase' The main strategies in the facing reality phase were 'holding on to a glimmer of hope', 'getting away from the harsh reality' and 'facing up to the reality'. The main strategies in the overcoming depression phase were 'soothing oneself', 'Self-introspection' and 'restoring self-esteem'. In addition, the main strategies in the self-initiative overcoming physical limits phase was 'discovering personal strategies and striving to recover'. The main strategies in the reestablishing roles phase were 'reestablishing a parents' role', 'reestablishing a spouse's role' and 'reestablishing social roles'. Conclusion: In conclusion, even though many middle aged stroke patients remained in the depression phase, most of them who overcame depression strived to conquer physical limits on their own initiative.

Development of a Model for Emotional Labor Worker's Health (감정노동 종사자의 건강 모형)

  • Lee, Bokim
    • Korean Journal of Occupational Health Nursing
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    • v.16 no.1
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    • pp.78-88
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    • 2007
  • Purpose: The Purpose of this study is to build up model of the emotional labor worker's health. Methods: Data was collected from 230 emotional labor workers from 2 department stores, 2 insurance companies, and 3 hotels located in Seoul and Kyung-gi areas, by the health managers and team leaders. For data analysis, descriptive statistics, pearson correlation, factor analysis and covariance structure analysis were used by SPSS window 10 version and AMOS 4.01. Results: The hypothetical model showed a goodness-of-fit to the empirical data(GFI=0.90, RMR=0.04, NFI= 0.79, PNFI=0.64). Eight out of fifteen paths of the model were accepted, while the other seven paths rejected. : From 'surface acting' to 'health', from 'social support' to 'surface acting', from 'social support' to 'health', from 'factors of organizational culture' to 'surface acting', from 'factors of organizational culture' to 'deep acting', from 'personal factor' to 'social support', from 'factors of organizational culture' to 'social support', from 'routine stress' to 'social support'. In conclusion, it has been confirmed that surface acting and social support were dominating factors to the health of emotional labor workers. Conclusion: In order to manage the health of emotional labor workers, it is imperative to develop a strategy to reduce their surface acting.

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The Predicted Scale of Sasang Constitutional Medical Service Market in 2020 (문헌고찰을 통해 알아본 2020년 체질 의료 서비스 시장 규모)

  • Jang, Eun-Su
    • Journal of Sasang Constitutional Medicine
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    • v.29 no.1
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    • pp.14-20
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    • 2017
  • Objectives Recently, the demand for complementary & alternative and personalized medical service has increased in the world. The purpose of this study was to predict the future market size of constitutional medical service in Korea through past surveyed studies Methods The portal sites of OASIS, NDSL, RISS, KISS, Koreamed, were used to select the researches related with constitutional medical service market. Total 1,477 papers were identified and 43 of them were fully reviewed. Finally, three of them picked up. Two specialists joined this review. Results and Conclusion The rate of constitutional medical service market among Korean medical service market was 23.2% in 2004 survey, 26.6% in 2007, and 23.5% in 2010. The number of Korean medical clinics and hospital was assumed 17,118 in 2020. The market size of Korean medicine was predicted 698,929 ten million won and among them, the scale of constitutional market size was 181,171 ten million won which meaned 25.9% proportion of Korean medical market size. Conclusion Constitutional medical market seems to be developed faster than Korean medical market in future.