• Title/Summary/Keyword: intervention effect

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A Study on the Effects of Protective Behavioral Strategies on Alcohol-Related Harms in Adults (보호행동전략이 성인의 음주폐해에 끼치는 영향에 관한 연구)

  • Lee, Hee Jong;Park, Ka Young
    • The Journal of the Korea Contents Association
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    • v.21 no.5
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    • pp.627-637
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    • 2021
  • Many efforts have been made to prevent alcohol related harms such as health problems and socio-economic problems. Among them, the method of improving drinking behavior at the individual level is the most direct intervention. The effectiveness of the use of protective behavior strategies(PBS) has been widely known in Western countries. The purpose of this study is to empirically verify whether the use of PBS affects alcohol related harms in Korean adults. The survey has been conducted on 2,000 adult men and women. As a result, it is found that the use of PBS reduced alcohol related harms in adults. Among the PBS, the biggest impact on alcohol related harms is the area related serious harm reduction strategy, followed by restrictions on 'manner of drinking'. The effects of 'limiting/ stopping of drinking' is not significant. In addition, drinking frequency, binge drinking, and drinking motivations have significant positive effects on alcohol-related harms, and only social motivation has a negative effect. In this work, we propose follow-up studies on identifying relationships between protective behaviors and alcohol related factors through longitudinal studies and strengthening the use of protective behavior strategies that applied to the refined target populations.

Effectiveness of Rapid Response Team on In-hospital Mortality in Patients with Hematologic Malignancy (혈액암 환자의 원내 사망률에 미치는 신속대응팀의 효용성)

  • Park, So-Jung;Hong, Sang-Bum;Lim, Chae-Man;Koh, Youn-Suck;Huh, Jin-Won
    • Quality Improvement in Health Care
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    • v.27 no.2
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    • pp.18-29
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    • 2021
  • Purpose: Patients with hematologic malignancy (HM) typically have a high mortality rate when their condition deteriorates. The chronic progressive course of the disease makes it difficult to assess the effect of intervention on acute events. We investigated the effectiveness of a rapid response team (RRT) on in-hospital mortality in patients with HM. Methods: We retrospectively analyzed the data of patients with HM who admitted to the medical intensive care unit between 2006 and 2015. Clinical outcomes before and after RRT implementation were evaluated. Results: A total of 228 patients in the pre-RRT period and 781 patients in the post-RRT period were included. The overall in-hospital mortality was 55.4%. Patients in the post-RRT period had improved survival; however, they required more vasopressor therapy, continuous renal replacement therapy, and extracorporeal membrane oxygenation. Multivariate analysis revealed that in-hospital mortality was associated with RRT activation (hazard ratio [HR], 0.634; 95% confidence interval [CI], 0.498-0.807; p < .001), neurological disease (HR, 2.007; 95% CI, 1.439-2.800; p < .001), sequential organ failure assessment score (HR, 1.085; 95% CI, 1.057-1.112; p < .001), need for continuous renal replacement therapy (HR, 1.608; 95% CI, 1.206-1.895; p< .001), mechanical ventilation (HR, 1.512; 95% CI, 1.206-1.895; p< .001), vasopressor (HR, 1.598; 95% CI, 1.105-2.311; p = .013), and extracorporeal membrane oxygenation (HR, 1.728; 95% CI, 1.105-2.311; p = .030). Conclusion: RRT activation may be associated with improved survival in patients with HM.

A DID-Based Transaction Model that Guarantees the Reliability of Used Car Data (중고자동차 데이터의 신뢰성을 보장하는 DID기반 거래 모델)

  • Kim, Ho-Yoon;Han, Kun-Hee;Shin, Seung-Soo
    • Journal of Convergence for Information Technology
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    • v.12 no.4
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    • pp.103-110
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    • 2022
  • Online transactions are more familiar in various fields due to the development of the ICT and the increase in trading platforms. In particular, the amount of transactions is increasing due to the increase in used transaction platforms and users, and reliability is very important due to the nature of used transactions. Among them, the used car market is very active because automobiles are operated over a long period of time. However, used car transactions are a representative market to which information asymmetry is applied. In this paper presents a DID-based transaction model that guarantees reliability to solve problems with false advertisements and false sales in used car transactions. In the used car transaction model, sellers only register data issued by the issuing agency to prevent false sales at the time of initial sales registration. It is authenticated with DID Auth in the issuance process, it is safe from attacks such as sniping and middleman attacks. In the presented transaction model, integrity is verified with VP's Proof item to increase reliability and solve information asymmetry. Also, through direct transactions between buyers and sellers, there is no third-party intervention, which has the effect of reducing fees.

A Case Study of Therapeutic Song Making to Enhance the Self-identity of Adolescents in Residential Treatment Facility (시설보호청소년의 자아정체감 증진을 위한 치료적 노래만들기 사례)

  • Hwang, Hyejin;Song, Inryoeng
    • Journal of Music and Human Behavior
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    • v.19 no.1
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    • pp.43-67
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    • 2022
  • This is a case study of therapeutic song making activities aimed at improving the self-identity of adolescents in residential treatment facility. The participants were three male teenagers (16 to 18 years of age). The song making intervention was conducted individually with the participants once a week over 13 weeks, and each session lasted 60 minutes. The participants took the lead in making songs by discussing on the self-image and his/her role in the relationship and using musical elements to reflect his/her perception. For analysis, an evaluation method was used to analyze the pre- and post-test results for each sub-domain of the self-identity scale, and changes in the verbal and musical responses during each session. Two of the participants demonstrated higher post-test results compared to their pre-test performance, and their highest post-test scores were for the subdomains of intimacy and initiative respectively. In terms of verbal and musical responses per session, all three participants improved their subjectivity through the self-exploration process, which contributed to the establishment of a more positive self-image. This study suggests that facility youth engaging in making creative songs can positively change their perception of their present and future selves and have a positive effect on their sense of identity.

A Study on the Listener's Emotional Perception of Music According to Harmonic Progression Level (음악의 화음 전개 수준에 따른 감상자의 정서 지각 연구)

  • Ryu, Hae In;Choi, Jin Hee;Chong, Hyun Ju
    • Journal of Music and Human Behavior
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    • v.19 no.1
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    • pp.93-112
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    • 2022
  • The purpose of this study was to compare participants' perceived emotion following harmonic changes in music. In this study, 144 participants, aged 19 to 29 years, listened to music online that included low to high harmonic progression in tonal music (major-minor). After listening to each piece of music, participants were asked to rate 4 items using a 7-point Likert scale: emotional potency, arousal, degree to which the harmony impacted the listener's emotions, and listener's preference for the music. There were significant differences between each of the four items upon the level of harmonic progression. When the participants were divided into two groups (i.e., those with a background in music and those with no background in music), there was a significant difference between the groups in terms of emotional potency, but there was no significant interaction effect. This study confirmed that various emotional responses in listeners can be induced by controlling the exogenous variables in musical excerpts. Based on this, it is expected that the harmonic progression level can be provided to the client to be used as an effective therapeutic tool in music therapy intervention.

Effect of Joint Mobilization and Insole on Pain, Pelvic Angle, and Foot Pressure in Patient with Sacroiliac Joint Pain : A Randomized Controlled Pilot Trial (관절가동술과 깔창적용이 엉치엉덩관절통증환자의 통증과 골반경사각, 족저압에 미치는 효과: 무작위배정예비임상시험)

  • Lim, Chae-Gil
    • Journal of Korea Entertainment Industry Association
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    • v.14 no.3
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    • pp.383-392
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    • 2020
  • This study was to compare the effects of joint mobilization, treadmill with insole, and joint mobilization and treadmill with insole on pain, pelvic angle, and foot pressure in patients with sacroiliac joint pain. 24 patients randomly assigned to joint mobilization group(n=8), treadmill with insole group(n=8), or joint mobilization and treadmill with insole group(n=8). Each groups were conducted 30 minutes a day, two days a week for four weeks. Pain was evaluated using visual analogue scale and pelvic angle was measured using palpation meter and foot pressure(fore/rear ratio) was measured using Gateview AFA-50 before intervention and after 4 weeks. All groups were significant differences pain in intragroup(p<.01). In pelvic angle, the joint mobilization group was statistically significant in the anterior tilt only, the joint mobilization and treadmill with insole group showed statistically significant improvement in both anterior and posterior tilt(p<.01), and the treadmill with insole group did not show any statistically significant change(p>.05). Also the joint mobilization and treadmill with insole group were significant differences in foot pressure(p<.01). All the interventions reduce sacroiliac joint pain and joint mobilization and treadmill with insole training are most effective changes in pelvic angle and foot pressure. This study can be used as a basic data for prevention of injury, posture correction and gait training in patients with sacroiliac joint pain, as well as chronic low back pain and plantar pressure problem.

Effect of Olfactory Stimulation on Balance, Spasticity and Quality of Life in Chronic Stroke Patients (후각자극이 만성 뇌졸중 환자의 균형, 경직 및 삶의 질에 미치는 효과)

  • In, Tae-Sung;Kim, Kyung-Hun
    • Journal of Korea Entertainment Industry Association
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    • v.14 no.3
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    • pp.403-410
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    • 2020
  • The purpose of this study was to determine whether olfactory stimulation would improve spasticity, balance ability and quality of life in stroke patients. Twenty-one stroke patients were recruited and were randomly divided into two groups: olfactory stimulation group (n=10) and sham stimulation group (n=11). Participants in both groups received conventional physical therapy for 30 minutes before the intervention. Additionally, subject in the olfactory stimulation group performed olfactory stimulation using lavender oil for 6 minutes (2 minx3 set), five times a week for two weeks, while the sham stimulation group conducted olfactory stimulation using water for the same amount of time. Composite-Spasticity-Score was used to assess spasticity level of ankle plantar-flexors. Dynamic balance was measured using a TUG. Postural-sway distance was measured using a force platform. Quality of life were measured by SF-36. There was no significant difference within group and between the groups in the spasticity. Significant improvement in postural-sway and TUG were observed in the olfactory stimulation group compared to the sham stimulation group (p<0.05). The Mental Componnt Summary of the SF 36 in the olfactory stimulation group improved significantly greater than the sham stimulation group (p<0.05). Our findings indicate that olfactory stimulation is beneficial and effective to improve balance ability and quality of life in stroke patients.

The Effects of Oral Administration of Deer Antler Extracts on an Osteoporosis-induced Animal Model: A Systematic Review and Meta-analysis (골다공증 유발 동물모델에서 녹용 추출물의 경구 투여 효과: 체계적 문헌고찰 및 메타분석)

  • Lee, Jung Min;Kim, Nam Hoon;Lee, Eun-Jung
    • Journal of Korean Medicine Rehabilitation
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    • v.32 no.2
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    • pp.65-81
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    • 2022
  • Objectives This study aimed to assess the effects of oral administration of deer antler extracts on an osteoporosis-induced animal model. We analyzed the results of using deer antler single extracts on animal models with osteoporosis through a systematic review and meta-analysis. Methods We included osteoporosis studies in animal experiments that administrated deer antler extracts orally. We searched the following 13 databases without a language restriction: PubMed, EMBASE, Cochrane Library, Cumulative Index to Nursing and Allied Health Literature (CINAHL), China National Knowledge Infrastructure (CNKI), Wanfang, Korean Medical Database (KMbase), National Digital Science Library (NDSL), Korean Traditional Knowledge (Koreantk), Oriental Medicine Advanced Searching Integrated System (OASIS), Research Information Sharing Service (RISS), Korea Institute of Science and Technology Information (KISTI), and Koreanstudies Information Service System (KISS). We used Systematic Review Centre for Laboratory Animal Experimentation's risk of bias tool for assessing the methodological quality of the included studies. Results A total of 299 potentially relevant studies were searched and 11 were included for a systematic review. Nine studies used a single deer antler extract. A study compared the effects of single extracts of deer antler and antler glue, while another study compared the effects of three single extracts of deer antler, old antler, and antler glue. For evaluating the intervention effect, bone mineral density (BMD) was measured as the primary outcome, while the histomorphometric indicators of the bone and serum alkaline phosphatase and osteocalcin levels were used as the secondary outcome variables. On conducting a meta-analysis of studies on single deer antler extract, BMD was observed to be significantly increased compared to that in control group (standardized mean difference [SMD]=2.11; 95% confidence interval [CI]=1.58~2.65; Z=7.75; p<0.00001; I2=56%). As a result of meta-analysis, according to the concentration of deer antler, the group with high concentration showed statistically significantly higher BMD than the group with low concentration (SMD=1.28; 95% CI=0.74~1.82; Z=4.63; p<0.00001; I2=9%). Conclusions The research shows that the deer antler extracts have significant anti-osteoporotic effects on the osteoporosis-induced animal model. However the studies included in this research had a high methodological risk of bias. This indicates the requirement of considerable attention in the interpretation of the study results.

Effect of the Kneipp Lebensordnung Psychotherapy on Improving Resilience: Preliminary Validation (크나이프 '삶의 질서' 심리요법의 회복탄력성 개선 효과: 예비적인 검증)

  • Hong, Geum Na;Sin, Bang Sik;Song, Kyu Jin;Kim, Hyun Suk;Choi, Min Joo
    • Journal of Naturopathy
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    • v.10 no.2
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    • pp.77-85
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    • 2021
  • Background: It is necessary to verify the resilience of the newly improved Kneipp psychotherapy. Purpose: This study assesses whether Kneipp Lebensordnung psychotherapy; KnLP program improves resilience. Methods: The KnLP program, including salutogenesis, logotherapy, meditation, and resilience training, is reorganized in consideration of Korean culture and sentiments. It was conducted 4 times for 25 adults (once a week, 3 hours a time), and data, KRQ-53 (Korean Resilience Quotient-53) measured intervention, before, and after was compared and analyzed. Results: The data for 9 adults were selected to draw reliable analysis, and it concluded that participants' KRQ-53 mean score increased by 14.66 from 191.56 to 206.22 during and after the program. The score increase by factor in resilience training is 5.89 points for self-regulation skills, 4.89 points for in interpersonal skills, and 3.89 points for positive capacity. Conclusions: KnL program improves participants' resilience skill (p<.05), and especially in self-regulation skill. Subsequent studies with more participants are required to achieve statistically significant and generalized results in the future.

Effects of Variables Related to Suicide Attempt on the Types of Youth Suicide Attempt (청소년 자살시도 관련 변인이 자살시도 유형에 미치는 영향)

  • Lee, Seung Jin;Yu, Nan Sook
    • Journal of Korean Home Economics Education Association
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    • v.32 no.4
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    • pp.67-79
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    • 2020
  • The purpose of the study were to analyze the patterns of adolescent suicide attempts, and to explore the effects of personal psychology (subjective depression, subjective stress), health status (BMI, subjective health perception), and subjective academic performance on the types of youth suicide attempts. For this research, data of 'The 15th Korea Youth Risk Behavior Survey' were analyzed employing a hierarchical logistic regression analysis. The findings are as follows. First, out of 1,731 youth suicide attempts 156 (9%) were impulsive and 1,575 (91%) were planned. Girls(67.3%) attempted suicide more than boys (32.5%), and middle school students (62%) attempted suicide more than high school students (38%). Second, the variables that significantly affect suicide attempt types were subjective depression, subjective stress, and subjective health perception, after controlling for gender, grade level, school type, and SES. The rate of planned suicide attempts was higher among those who experienced depression than among those who did not. In the case of subjective stress, adolescents who felt stressed were likely to commit planned suicide attempts. Those who attempted impulsive suicide showed 1.32 times higher subjective health perception scores than those who attempted planned suicide, indicating adolescents who perceived they were not healthy were more likely to attempt planned suicide. BMI and subjective academic performance did not have a significant effect on the types of youth suicide attempts. These findings suggested the necessity of systematic intervention in Home Economics classes or extra-curricular programs, to prevent potential youth suicide attempts.