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Comparison of postural control between subgroups of persons with nonspecific chronic low back and healthy controls during the modified Star Excursion Balance Test

  • Shallan, Amjad;Lohman, Everett;Alshammari, Faris;Dudley, Robert;Gharisia, Omar;Al-Marzouki, Rana;Hsu, Helen;Daher, Noha
    • Physical Therapy Rehabilitation Science
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    • v.8 no.3
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    • pp.125-133
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    • 2019
  • Objective: To compare the postural control between non-specific chronic low back pain (NSCLBP) subgroups and healthy people during dynamic balance performance using a modified Star Excursion Balance Test (mSEBT). Design: Cross-sectional study. Methods: Eighteen NSCLBP subjects (9 active extension pattern [AEP], 9 flexion pattern [FP]), and 10 healthy controls were enrolled in this study. All subjects performed mSEBT on their dominant leg on a force plate. Normalized reach distance and balance parameters, including the center of pressure (COP) displacement and velocity, were recorded. Results: There were significant differences in mean reach distances in both posterolateral and posteromedial (PM) reach directions between AEP and healthy subjects (p<0.001) and between FP and healthy subjects (p<0.001). However, there were no significant differences among the three groups in the anterior reach direction. Also, the results showed no significant differences in mean COP variables (velocity and displacement) between pooled NSCLBP and healthy subjects. However, the subjects were reclassified into AEP, FP and healthy groups and the results showed a significant difference in mean COP velocity in the PM direction between AEP and FP subjects (p=0.048), and between AEP and healthy subjects (p=0.024). Conclusions: The findings in this study highlight the heterogeneity of the individuals with NSCLBP and the importance of identifying the homogenous subgroups. Individuals with AEP and FP experience deficits in dynamic postural control compared to healthy controls. In addition, the findings of this study support the concept of the Multidimensional Classification System.

Analytical Solutions for the Inelastic Lateral-Torsional Buckling of I-Beams Under Pure Bending via Plate-Beam Theory

  • Zhang, Wenfu;Gardner, Leroy;Wadee, M. Ahmer;Zhang, Minghao
    • International journal of steel structures
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    • v.18 no.4
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    • pp.1440-1463
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    • 2018
  • The Wagner coefficient is a key parameter used to describe the inelastic lateral-torsional buckling (LTB) behaviour of the I-beam, since even for a doubly-symmetric I-section with residual stress, it becomes a monosymmetric I-section due to the characteristics of the non-symmetrical distribution of plastic regions. However, so far no theoretical derivation on the energy equation and Wagner's coefficient have been presented due to the limitation of Vlasov's buckling theory. In order to simplify the nonlinear analysis and calculation, this paper presents a simplified mechanical model and an analytical solution for doubly-symmetric I-beams under pure bending, in which residual stresses and yielding are taken into account. According to the plate-beam theory proposed by the lead author, the energy equation for the inelastic LTB of an I-beam is derived in detail, using only the Euler-Bernoulli beam model and the Kirchhoff-plate model. In this derivation, the concept of the instantaneous shear centre is used and its position can be determined naturally by the condition that the coefficient of the cross-term in the strain energy should be zero; formulae for both the critical moment and the corresponding critical beam length are proposed based upon the analytical buckling equation. An analytical formula of the Wagner coefficient is obtained and the validity of Wagner hypothesis is reconfirmed. Finally, the accuracy of the analytical solution is verified by a FEM solution based upon a bi-modulus model of I-beams. It is found that the critical moments given by the analytical solution almost is identical to those given by Trahair's formulae, and hence the analytical solution can be used as a benchmark to verify the results obtained by other numerical algorithms for inelastic LTB behaviour.

The Personal Data Protection Mechanism in the European Union

  • Syroid, Tetiana L.;Kaganovska, Tetiana Y.;Shamraieva, Valentyna M.;Perederiі, Оlexander S.;Titov, Ievgen B.;Varunts, Larysa D.
    • International Journal of Computer Science & Network Security
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    • v.21 no.5
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    • pp.113-120
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    • 2021
  • The adoption of the General Data Protection Regulation (EU) 2016/679 transformed approaches and concepts to the implementation of the personal data protection mechanism in the European Union. Within the EU, almost all countries have adapted a new protection mechanism, which requires a study of the specifics of its use. The article intends to assess the legal provisions of the current mechanism of personal data protection in the EU. The author studied the mechanism of personal data protection under the General Data Protection Regulation (EU) 2016/679 (GDPR) based on the concept of contextual integrity and analysis of EU legislation on personal data protection. The scientific publications for 2016-2020 were reviewed for the formation of ideas of a new personal data protection mechanism in the EU, informative and transparent analysis of legal provisions. The article notes that the personal data privacy and protection is increasing, there is an ongoing unification of the legal status of personal data protection and the formation of a digital market for dissemination, exchange, control, and supervision of data. Cross-border cooperation is part of the personal data protection mechanism. The author proved that the GDPR has changed approach to personal data protection: the emphasis is now shifting to the formation of a digital market, where the EU's role in ensuring regulation is crucial. The article identifies the emergence of a new protectionist legal system and strengthening of legal provisions regarding privacy. This legal system needs unification and harmonization in accordance with national legislation, is territorially fragmented and differentiated within the EU.

Integrated Pollinator-Pest Management (IPPM) Strategy as Future Apple IPM (사과 IPM 미래 전망: 화분매개자 친화형 병해충 종합관리 (IPPM) 전략)

  • Jung, Chuleui
    • Korean journal of applied entomology
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    • v.60 no.1
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    • pp.145-154
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    • 2021
  • Integrated pest management system in Korean apple has significantly advanced for last few decades. However harmful effects of pesticides threats the ecosystem services of natural enemies and pollinators. Apple require cross-pollination and Insect pollination with diversity and abundance is one of the keys to profitable apple production in quantity and quality as well. Thus crop protection tools are to be administered in harmony to meet the pest suppression and protection of beneficial organisms such as natural enemies and pollinators. Adding onto the established IPM system, integrated pollinator-pest management (IPPM) concept is proposed as the future direction of apple IPM. For this, ecological enginnering of creating habitats for pollinators, landscape management and agroecosytem diversification as well as selective soft pesticide uses on time guided by pest monitoring and phenologyand targeted delivery are further proposed. Recent shift of agroecosystem from climate change and new pest outbreaks require new paradigm of pest management for sustainable agricultural production.

Development of mobile, online/offline-linked math learning content to promote group creativity (집단창의성 발현을 위한 모바일, 온/오프라인 연계 수학 학습 콘텐츠 개발)

  • Kim, Bumi
    • Journal of the Korean School Mathematics Society
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    • v.25 no.1
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    • pp.39-60
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    • 2022
  • In this study, in order to support the expression of group creativity of high school students, we developed mathematics learning contents linked with mobile and online/offline that obtain the maximum and minimum values of the function within a limited range. This learning content was developed in connection with the 'environment', a cross-curricular learning topic. We explored the concept of group creativity in school mathematics. Its manifestation process, elements of group creativity expression process, and mobile and on/offline implementation functions were also explored. Then, we developed a hybrid app, 'Making the Best Box that Thinks of the Earth', which can express group creativity through mobile and online/offline-linked cooperative learning. A learning management system (LMS) and a teaching and learning guidance plan were also developed to efficiently operate mobile and online/offline-linked math learning using the app in schools. Our study found that the hybrid app, 'Creating the Best Box that Thinks of the Earth', was suitable for promoting collective fluency and collective sophistication based on complementary-metacognitive interaction.

An Empirical Research on the 'Eogul' (억울 경험의 과정과 특성에 대한 실증적 연구)

  • Shinhwa Suh ;Taekyun Hur ;Min Han
    • Korean Journal of Culture and Social Issue
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    • v.22 no.4
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    • pp.643-674
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    • 2016
  • The purpose of present study is to discover the meaning of the Eogul(억울) which is known as a emotion from perceived unfairness. Even though Eogul has been mentioned as a cause of the Hwabyung in Korean culture there were few studies about it. Researchers designed two studies to provide clear understanding for this concept. In study 1, researchers conducted an open-ended questionnaire for 44 participants to deduce the cultural contexts and the whole experience on Eogul. Data were analyzed with grounded theory, the results were cross-checked by different evaluators. According to the analysis, Eogul is not only the negative feelings from the perceived unfairness, but also the motivations and behaviors to resolve the feelings. Especially, what makes Eogul culture-bounded could be related display rules on expressing emotions. We conducted study 2 to clarify the cultural attributes of Eogul in Korean culture. Variables that explain cultural differences were chosen and 123 participants were surveyed with them including the items developed for measuring Eogul. Cultural meanings and implications of Eogul were discussed with the results.

Translation, Adaptation and Cross-Cultural Validation of Hearing Handicap Inventory for Adult in Malay Language

  • Zam, Tengku Zulaila Hasma binti Tengku Zam;Dzulkarnain, Ahmad Aidil Arafat;Rahmat, Sarah;Jusoh, Masnira
    • Journal of Audiology & Otology
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    • v.23 no.3
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    • pp.129-134
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    • 2019
  • Background and Objectives: Sine a self-reported questionnaire for hearing-impaired listeners is not available by Malay language yet, it is important to develop or translate any available existing questionnaires. The aim of this study was to translate, adapt and validate the Hearing Handicap Inventory for Adult (HHIA) to be used by the audiologist among the hearing-impaired population in Malaysia. Subjects and Methods: The HHIAs was translated to Malay language using forward-backward translation techniques by four-panellists (two for each level). The translated HHIA was then reconciled and harmonized for cultural aspects and content of the questionnaire by the researchers and two expert panels before being pilot-tested among 10 hearing-impaired patients. Questionnaire validation was conducted among 80 adults with a hearing loss to calculate for Cronbach's α (internal reliability), Spearman's correlation (inter-item correlation) and factor analysis. Results: None of the translated items were removed from the scale. The overall Cronbach's α was 0.964; 0.927 and 0.934 for both social and emotional subscales, respectively. The factor analysis (force-concept inventory) demonstrated a two-structure with a strong correlation between all items in either component 1 or 2, that resembled the original scale. The Mann-Whitney test revealed significantly higher scores for those adults with a hearing loss than those adults with normal hearing. Conclusions: The Malay HHIA has been successfully translated and validated for the purpose of determining the psychosocial aspects of adults with hearing loss in the local population.

The influence of eHealth literacy, reproductive health knowledge, and self-esteem on health-promoting behaviors in early adult women: a cross-sectional survey (성인초기 여성의 e헬스 문해력, 생식건강지식, 자아존중감이 건강증진행위에 미치는 영향: 설문조사연구)

  • Hye Sook Shin;Young A Song
    • Women's Health Nursing
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    • v.28 no.4
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    • pp.329-337
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    • 2022
  • Purpose: The purpose of this study was to investigate the influence of eHealth literacy, reproductive health knowledge, and self-esteem on early adult women's health-promoting behaviors (HPB). This study was based on Pender's health promotion model as a theoretical underpinning. Methods: Early adult women aged 18 to 35 years (n=165) were recruited by posting advertisements on social network sites for a student club and a faith-based community in Ansan, Korea. Willing individuals were invited to participate in the online survey from June 1 to June 30, 2022. Standardized instruments were used to measure HPB, eHealth literacy, reproductive health knowledge, and self-esteem. General characteristics included income level, perceived subjective health, and internet usage time. The collected data were analyzed using the independent t-test, one-way analysis of variance, Pearson correlation coefficients, and multiple regression. Results: The mean age of the respondents was 21.97±3.87 years. The total HPB score was 120.69, corresponding to a moderate level; and the total scores for eHealth literacy (30.24), knowledge of reproductive health (23.04), and self-esteem (35.62) were higher than the midpoint. The model explained 53.3% of variance in HPB, and self-esteem (β=.48, p<.001) was the most influential factor. Other influential factors were, in descending order, higher economic level, higher subjective health status, greater eHealth literacy, and less internet use time (<2 hours/day). Conclusion: In order to promote the health of early adult women, counseling or programs that positively improve self-esteem appear promising, and eHealth literacy should be considered as a way to promote HPB using information technology.

Do taegyo practices, self-esteem, and social support affect maternal-fetal attachment in high-risk pregnant women? A cross-sectional survey (고위험 임부의 태교실천, 자존감 및 사회적 지지가 모아애착에 영향을 미치는가?: 횡단적 조사 연구)

  • Da-In Kang;Euna Park
    • Women's Health Nursing
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    • v.28 no.4
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    • pp.338-347
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    • 2022
  • Purpose: The incidence of high-risk pregnancies is increasing in Korea as the birth age increases due to late marriage. Maternal-fetal attachment is an important factor that affects children even after childbirth, but it is difficult for high-risk pregnant women to form maternal-fetal attachment. The current study aimed to explore whether taegyo practice (i.e., pregnant women's efforts for fetal good growth and development), self-esteem, and social support influenced the degree of maternal-fetal attachment in women with high-risk pregnancies. Methods: The participants included 226 pregnant Korean women at ≥20 gestational weeks, hospitalized with 15 high-risk pregnancy conditions as defined by the Ministry of Health and Welfare. Recruitment via convenience sampling was done at four sites in Busan, Korea. Surveys were distributed and collected from February 1 to 28, 2022. Data analysis was conducted using descriptive statistics, the t-test, one-factor analysis of variance, Pearson correlation coefficients, and hierarchical multiple regression. Results: On average, participants were 33.97±4.23 years of age and at 31.65±6.23 gestational weeks. Preterm labor (35.4%) and gestational diabetes (21.0%) were the most common high-risk conditions. Maternal-fetal attachment was positively correlated with taegyo practice (r=.70, p<.001), self-esteem (r=.53, p<.001), and social support (r=.53, p<.001), all with statistical significance. Taegyo practice (β=.50, p<.001) and social support (β=.17, p=.030) explained 53% of variance in maternal-fetal attachment in women with high-risk pregnancies. Conclusion: Nurses caring for women with high-risk pregnancies during hospitalization can use these findings by promoting taegyo practice and enhancing social support to increase maternal-fetal attachment.

Translation, Adaptation and Cross-Cultural Validation of Hearing Handicap Inventory for Adult in Malay Language

  • Zam, Tengku Zulaila Hasma binti Tengku Zam;Dzulkarnain, Ahmad Aidil Arafat;Rahmat, Sarah;Jusoh, Masnira
    • Korean Journal of Audiology
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    • v.23 no.3
    • /
    • pp.129-134
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    • 2019
  • Background and Objectives: Sine a self-reported questionnaire for hearing-impaired listeners is not available by Malay language yet, it is important to develop or translate any available existing questionnaires. The aim of this study was to translate, adapt and validate the Hearing Handicap Inventory for Adult (HHIA) to be used by the audiologist among the hearing-impaired population in Malaysia. Subjects and Methods: The HHIAs was translated to Malay language using forward-backward translation techniques by four-panellists (two for each level). The translated HHIA was then reconciled and harmonized for cultural aspects and content of the questionnaire by the researchers and two expert panels before being pilot-tested among 10 hearing-impaired patients. Questionnaire validation was conducted among 80 adults with a hearing loss to calculate for Cronbach's α (internal reliability), Spearman's correlation (inter-item correlation) and factor analysis. Results: None of the translated items were removed from the scale. The overall Cronbach's α was 0.964; 0.927 and 0.934 for both social and emotional subscales, respectively. The factor analysis (force-concept inventory) demonstrated a two-structure with a strong correlation between all items in either component 1 or 2, that resembled the original scale. The Mann-Whitney test revealed significantly higher scores for those adults with a hearing loss than those adults with normal hearing. Conclusions: The Malay HHIA has been successfully translated and validated for the purpose of determining the psychosocial aspects of adults with hearing loss in the local population.