• 성인간호학회지
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• 제25권2호
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• pp.219-230
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• 2013

Purpose: This study is reviewed of the available literature to identify the evidence of the value of Kegel exercise programs as an intervention to decrease urinary incontinence and the improvement of the quality of life following a radical prostatectomy in localized prostate cancer. Methods: We searched studies of randomized controlled trials that utilized the Kegel exercise programs with patient with a radical prostatectomy. The review was conducted electronic bibliographic database of Ovid-Medline, Embase, Scopus, KoreaMed and NDSL, etc. Of 630 publications identified, seven studies that met the inclusion criteria, and all studies analyzed by meta-analysis. To ensure the quality of the studies, we used Cochrane's Risk of Bias. Results: Kegel exercise helped patient to achieve continence more quickly (after 1, 3, 6, 12 months) than men not using Kegel exercises. Especially, Kegel exercise significantly reduced the development of urinary incontinence at one month after prostatectomy. The effectiveness of Kegel exercise after prostatectomy was found to improve the quality of life at a significant level. Conclusion: Based on available evidence, Kegel exercise that nurses can teach improved the return to continence more than usual care in men with prostatectomy urinary incontinence.

• 재활치료과학
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• 제10권2호
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• pp.23-36
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• 2021

목적 : 본 연구는 지역사회에 거주하는 노인 대상의 그룹 프로그램 연구를 체계적으로 고찰하여 분석하고자 한다. 연구방법 : 2009년부터 1월부터 2019년 12월까지 NDSL, DBPia, Riss, PubMed의 데이터베이스를 이용하여 지역사회 노인 대상의 그룹 프로그램에 대한 논문을 검색하였으며, 1차 검색된 147편의 논문 중 선정기준 및 배제기준에 따라 16편의 논문을 최종 선택하여 연구 대상자 특성, 그룹 프로그램의 세부내용, 중재기간 및 회기, 결과 측정방법, 그룹 프로그램의 효과를 분석하였다. 결과 : 총 16편의 선정된 연구 중 근거수준 III에 해당하는 단일 그룹 사전-사후 연구가 8편(50.0%)으로 가장 많았고, 지역사회 거주 일반 노인 대상의 연구가 5편(25.0%)이었다. 총 16편의 연구에서 적용한 그룹 프로그램의 유형은 10개로 구분되었고, 운동 그룹 프로그램이 4편(25.0%)이었다. 그룹 프로그램 중재 기간은 12주 동안의 중재 기간이 6편(37.5%)이었고, 회기는 8회기와 12회기가 4편(25.0%)이었으며, 그룹 프로그램의 적용 시간은 60분이 7편(43.8%)이었다. 결론 : 본 고찰 연구는 지역사회에서 다양한 인지수준의 노인을 위한 작업치료 그룹 프로그램 개발의 기초자료로 활용될 수 있다.

• 한국콘텐츠학회논문지
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• 제21권2호
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• pp.667-675
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• 2021

본 연구는 치매환자의 보행의 중요성을 확인하고, 보행에 필요한 다양한 중재 방법의 필요성을 알리는데 의의를 두고자 근거 기반 중재에 대해 체계적 고찰을 실시하였다. PRISMA의 가이드라인과 근거 중심 중재를 바탕으로 체계적인 검토를 수행하였으며, 지난 10년간 국내 학술지에 게재 된 논문을 수집하고 중재 유형 및 보행과 함께 측정 된 종속 변수를 분석 하였다. 자료 검색은 RISS, KISS, 국립중앙 도서관, 국회 도서관을 통해 2011년 1월부터 2020년 6월까지의 연구 논문을 수집하였다. 주요 검색 용어는 '치매환자'와 '보행', '보행능력'이였다. 문헌 선택 기준에 해당하는 치매환자와 보행에 관한 57개의 논문을 검색하였으며, 그 중 2010년 이전의 논문과 중복된 논문, 종속변인이 보행 능력과 상관없는 논문을 제하고, 마지막으로 치매질환이 아닌 다른 질환의 환자를 대상으로 한 논문을 제하자 5권이 선정되었다. 보행의 중재종류는 낙상 예방, 신체 활동 등 운동과 관련된 프로그램이 많았으며, 보행과 함께 측정 된 종속 변수는 신체적, 심리적으로 다양했다. 치매환자를 위한 국내연구는 다각적인 방향과 방법으로 이루어지고 있지만, 신체적인 부분 중 하지부분의 기능향상과 보행에 관한 연구는 거의 전무하다. 따라서 치매환자의 보행에 관한 다각적이며, 다양한 중재 방법에 관한 연구가 필요하다.

• Applied Microscopy
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• 제46권2호
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• pp.71-75
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• 2016

The scanning electron microscope (SEM) offers two-dimensional (2D) micrographs of three-dimensional (3D) objects due to its inherent operating mechanisms. To overcome this limitation, other devices have been used for quantitative morphological analysis. Many efforts have been made on the applications of software-based approaches to 3D reconstruction and measurements by SEM. Based on the acquisition of two stereo images, a multi-view technique consists of two parts: (i) geometric calibration and (ii) image matching. Quantitative morphological parameters such as height and depth could be nondestructively measured by SEM combined with special software programs. It is also possible to obtain conventional surface parameters such as roughness and volume of biomedical specimens through 3D SEM surface reconstruction. There is growing evidence that conventional 2D SEM without special electron detectors can be transformed to 3D SEM for quantitative measurements in biomedical research.

• 의학교육논단
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• 제20권1호
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• pp.1-5
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• 2018

A traditional clerkship consists of a series of short rotations in specialty disciplines and is usually based in tertiary, urban teaching hospitals. Shortened inpatient stays and the shift toward ambulatory management have had a negative impact on student learning. There have been growing concerns that the traditional specialty-based clerkship in fragmented and highly specialized clinical environments may not be the optimal choice for basic clinical education. As a result, a new model of clinical clerkship called longitudinal integrated clerkships (LICs) has emerged. There is increased interest in LICs due to the growing evidence of positive outcomes for students, patients, and supervising clinicians. Emphasizing continuity as one of the main organizing principles of an LIC, this article reviews the introduction of LICs into medical education, the key concepts and educational theories which underpin LICs, and the typology of LICs. The author also offers some personal suggestions for contemplation before clerkship programs in Korea adopt LICs.

• International Journal of Computer Science & Network Security
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• 제22권5호
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• pp.255-265
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• 2022

Educational programs for students with intellectual disabilities have undergone drastic changes in pursuit of the general curriculum. Accordingly, teachers in various fields, including mathematics, strive to find effective methods that enhance learning. The objective of this systematic review is to examine the field of teaching mathematics to students with intellectual disabilities to investigate relevant effective teaching strategies and required teaching skills. To achieve this goal, studies published during the period 2018-2021 were reviewed. Findings indicate the inclusion of nine studies that met the inclusion criteria out of 55 studies. The included studies found that the system of least prompts (SLP) in conjunction with feedback and error correction, and schema-based instruction are generally the most effective strategies in teaching mathematical skills to students with intellectual disabilities. Addition is the most targeted skill, followed by subtraction and algebra problem solving. The least targeted skills are multiplication, recognition of geometric shapes, calculating price after discount, rapid recognition of numbers, and rapid problem solving. The paper provides recommendations and suggests venues of future research.

• 한국전문물리치료학회지
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• 제28권1호
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• pp.1-12
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• 2021

While efforts have been made to address fall-related injuries in older adults, the problem is unsolved to date. The purpose of this review is to provide a guideline for fall and injury prevention programs in older adults, based on evidence generated over the past 30 years. Research articles published between 1990 and 2020 have been searched on PubMed, using keywords, including but not limited to, falls, hip fracture, injuries, intervention, older adults, prevention, hip protector, vitamin D, safe landing strategy, and exercise. Total of 98 articles have been found and categorized into five intervention areas: exercise program, hip protector, safe landing strategy, vitamin D intake, and compliant flooring. Furthermore, the articles have been rated based on their study design: class 1, randomized controlled trials; class 2, non-randomized controlled trials; class 3, experimental studies; class 4, all other studies. Exercise programs have shown to decrease the risk of fall, and associated injuries. Hip protectors, safe landing strategy, and vitamin D intake were effective in reducing a risk and incidence of hip fracture during a fall. Furthermore, compliant flooring has also decreased hip fracture risk without affecting balance. An integrated approach combining exercise program, wearing a hip protector, teaching safe landing strategies, scheduled vitamin D intake, and compliant flooring installation, is suggested to address fall-related injuries in older adults.

• 한국학교ㆍ지역보건교육학회지
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• 제23권1호
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• pp.1-16
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• 2022

Background & Objectives: Self-rated health has been widely used to evaluate health status and accepted as a subjective measurement of quality of life. This study aimed to analyze the associations between self-rated health, health promotion behaviors, and mental health factors and suggest the approaches to improve health status among university students. Methods: Two thousand six hundred seventy-seven students who had stayed at dormitories on campus participated in the DU health survey by self-reported questionnaire from April 10 to 14, 2017. Multivariate logistic regression analysis was performed to estimate the odds ratios and 95% confidence intervals of association of self-rated health with health-related factors among male and female students. Results: 38.6% of the respondents reported good self-rated health. Male and first-year students were more likely to report good self-rated health than female and third-year students. There were significant differences in sex, grade, health problems, BMI, sleeping hours, eating breakfast, consumption of fruits and vegetables, physical activity (regular walking, strength exercise, moderate exercise, vigorous exercise), perceived stress, depression, and suicide thought (p<0.05). Conclusion: Although health promotion programs for university students are essential to support their adaptation to campus life and academic achievement, evidence-based health programs to encourage their participation are still insufficient. Therefore, it should establish a campus-based health policy and develop health promotion programs to increase self-rated health levels and prevent mental health problems for university students.

• 대한화학회지
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• 제62권2호
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• pp.137-147
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• 2018

본 연구는 과학 관련 사회적 쟁점(Socio-Scientific Issues, SSI)의 국내 프로그램 123개를 SSI 준거틀에 따라 분석하였다. 준거틀은 프로그램의 주제, 학교급, 도입, 과학적 증거, 사회적 내용, 과학적 지식의 사용, 갈등 수준, 평가와 성찰 등으로 구성된다. 분석한 결과에 따른 결론은 다음과 같다. 첫째, 우리나라 SSI 프로그램은 초등학교급 프로그램이 가장 많았고, 중학교급 프로그램이 상대적으로 적게 나타났다. 둘째, SSI 프로그램의 도입은 실제 상황과 픽션과 논픽션 상황이 주된 것으로 나타났고, 논쟁과 갈등이 포함된 상황은 10% 미만으로 나타났다. 셋째, SSI 프로그램은 과학적 증거에 기반하지만 개인의 가치, 인식 등에 따라 영향을 받는 내용이 주로 나타났다. 넷째, SSI 프로그램의 사회적 내용은 윤리/도덕/가치, 정치/사회생활/경제, 환경 내용이 주로 개발되었다. 다섯째, SSI 프로그램에서 과학적 지식의 사용은 과학적 의사결정, 과학적 비판적 사고, 정보 탐색이 주로 나타났다. 그러나 과학 탐구, 위험평가, 비용 효과는 10% 미만으로 나타났다. 과학적 탐구는 과학교육의 핵심이며, 과학과 교육과정의 핵심역량이다. SSI 교육을 통해 학생들의 다양한 이해당사자의 관점을 경험하고, 평가하고, 반성하는 학습 경험을 제공해야 한다.

• 한국보건간호학회지
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• 제35권3호
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• pp.448-468
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• 2021

Objectives: This study aimed to understand the trends and issues of health-related intervention research using Intervention Mapping over the last ten years in South Korea. Intervention Mapping is a representative planning protocol to develop theory-and-evidence-based health promotion programs. Methods: The scoping review method was undertaken, and a total of 20 studies were analyzed using Intervention Mapping six steps. Results: The Korean health-related intervention studies using Intervention Mapping showed low methodological quality. In step 1, only 7 out of 20 studies organized a planning group consisting of various stakeholders. In step 2, about half of the studies did not present a matrix, which is the core essential component of Intervention Mapping. In step 5, only 1 out of 20 studies presented program adopters and maintainers. In step 6, most studies described effect evaluation relatively, but only one study mentioned process evaluation. Conclusions: In order to develop sustainable and cost-effective programs, systematic planning using Intervention Mapping is required from the research planning stage. In addition, a concrete and realistic plan needs to be established for the development of programs and adoption, dissemination and maintenance of programs.