• Smart Structures and Systems
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• 제18권3호
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• pp.569-584
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• 2016

This paper presents a method for stochastic modelling of fatigue crack growth and optimising inspection and maintenance strategy for the structural members of steel bridges. The fatigue crack evolution is considered as a stochastic process with uncertainties, and the Gamma process is adopted to simulate the propagation of fatigue crack in steel bridge members. From the stochastic modelling for fatigue crack growth, the probability of failure caused by fatigue is predicted over the service life of steel bridge members. The remaining fatigue life of steel bridge members is determined by comparing the fatigue crack length with its predetermined threshold. Furthermore, the probability of detection is adopted to consider the uncertainties in detecting fatigue crack by using existing damage detection techniques. A multi-objective optimisation problem is proposed and solved by a genetic algorithm to determine the optimised inspection and maintenance strategy for the fatigue affected steel bridge members. The optimised strategy is achieved by minimizing the life-cycle cost, including the inspection, maintenance and failure costs, and maximizing the service life after necessary intervention. The number of intervention during the service life is also taken into account to investigate the relationship between the service life and the cost for maintenance. The results from numerical examples show that the proposed method can provide a useful approach for cost-effective inspection and maintenance strategy for fatigue affected steel bridges.

• 재활치료과학
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• 제8권4호
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• pp.33-39
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• 2019

목적 : 본 연구는 Selection-Optimization-Compensation(SOC)전략을 접목한 성공적 노화 중재프로그램이 노인의 SOC전략 및 성공적 노화에 미치는 영향을 확인하고자 한다. 연구방법 : 연구대상자는 강원도 W에 거주하는 65세 이상의 노인 3명을 대상으로 하였으며, SOC전략을 이용한 성공적 노화 프로그램을 6회기에 걸쳐 1주일에 2번씩 실시하였다. 프로그램의 효과를 검증하기 위해서 한국형 SOC 척도와 성공적 노화 척도를 사용하였다. 분석은 일반적 특성은 기술통계를 실시하였으며, 성공적 노화 및 SOC전략에 대해서는 Wilcoxon signed rank 검정을 사용하였다. 결과 : 3주간 총 6회의 성공적 노화 프로그램 후, 연구대상자들의 SOC전략 수준은 평균 12.7점에서 14.3점으로 향상되었다. 또한, 성공적 노화 점수는 평균점수가 11.4점 증가하였다. 결론 : 본 연구를 통해 SOC전략을 사용한 성공적 노화 프로그램은 대상자의 SOC 전략 수준과 성공적 노화 수준을 향상시킨 것을 알 수 있었다. 본 연구의 결과를 통해서 SOC전략 및 성공적인 노화를 증진시킬 수 있는 프로그램 또는 작업치료사를 위한 가이드라인 개발을 하기 위한 기초자료로 활용될 수 있을 것으로 사료된다.

• The Journal of Korean Physical Therapy
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• 제33권3호
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• pp.168-177
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• 2021

Purpose: This study applies the ICF to identify the patient's body function, structure, and participation, evaluates the patient's environmental factors and individual factors, and is a high level of movement to return to the society of patients with multiple ligament injury of the knee joint. Methods: Progressive strength training and ROM exercise were performed 30 minutes a day, 5 times a week for 6 weeks. The evaluation was performed by examining the ROM, length, MMT, instability, dynamic balance, pain and depression. Results: The ROM of the knee joint was improved from 110° to 135° after intervention, and the knee flexion length decreased from 69 cm to 45 cm. Knee flexor is Good after intervention from Poor-, and knee extensor is Good+ after intervention from Poor, and the plantar flexor of the ankle joint improved from Poor- before intervention to Good after intervention and dorsi-flexor of the ankle joint improve to Good from Poor. Pain index was moderate before and after the intervention, with a score of 3, 2 after the intervention, and when maintaining the sitting cross-legged, the before intervention score was 7 to 4 after the intervention. Conclusion: The patient's posture of sitting cross-legged was maintained from 30 seconds before intervention to 14 minutes after intervention. These results were able to set the hypothesis design, intervention method and goal that the multifaceted approach of environment and individual factors as well as body function and structure area, activity and participation area using ICF checklists, it is helped the patient to return to daily life.

• 수산해양교육연구
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• 제28권2호
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• pp.550-563
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• 2016

This study examined well-being as a mediator between self-discrepancy and dropout intention of junior college Student. 270 students in Busan answered the questionnaire about self-discrepancy, well-being, dropout intention. Structural equation modeling indicated that there were the complete mediating effect of well-being in the relationship between self-discrepancy and dropout intention. It indicated discrepancy between individuals' representation of their actual self(their actual self-state) and their representation of individual's hopes and aspirations(their ideal self-guide) affects junior college students' dropout intention, and well-being mediate process of self-discrepancy leading to dropout intention. This conclusion provide the significant implications that help preparing psychosocial intervention strategy for junior college students to decrease dropout intention and intervention strategy to enhance their well-being.

• 성인간호학회지
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• 제25권6호
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• pp.736-746
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• 2013

Purpose: The purpose of this study was to evaluate the effectiveness of a peer cervical cancer prevention education program on Korean female college students' knowledge, attitude, self-efficacy, and intention. Methods: A quasi-experimental pretest-posttest design with a non-equivalent control group was used. The participants were 58 female college students in a metropolitan city in Korea. The sample consisted of an intervention group (n=28) that participated in a peer education program and a control group (n=30). Data were measured using self-administered questionnaires at two time points: prior to the intervention and after the intervention. Results: Compared to the control group, the experimental group reported significantly positive changes for knowledge, attitude, self-efficacy, and intent to practice cervical cancer prevention behaviors. Conclusion: The findings of this study indicated that a peer education program developed for Korean female college students was a useful and effective intervention strategy to promote cervical cancer prevention behaviors in Korean sociocultural contexts.

• 근관절건강학회지
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• 제25권3호
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• pp.205-217
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• 2018

Purpose: The purpose of this review was to analyze the characteristics and effectiveness of online-based intervention for infertile women. Methods: We established the PICO (Participant-Intervention-Comparison-Outcome) strategy and conducted a systematic review of 7 literatures retrieved from 3 electronic databases of Ovid-Medline, Ovid-Embase, and the Cochrane Library. Two investigators independently extracted the data and assessed the quality of included studies using Cochrane risk of bias. Results: The pregnancy outcome showed that higher total risk scores (TRS) about lifestyle behavior was significantly associated with lower chance of pregnancy (aHR 0.79, 95% CI 0.72~0.85). Stress was significantly decreased in experimental groups receiving online-based interventions (p<.05). Depression score was significantly lower in groups receiving additional interventions besides on-line interventions than those who used online-based intervention only. The other outcomes, including anxiety, self-efficacy, helpfulness of intervention, perceived social support, and knowledge scores were not significantly different within and between groups in overall. Characteristics of the interventions were heterogeneous. Conclusion: There is evidence that online-based intervention in infertile women enhances the pregnancy and reduces stress levels.

• 보건교육건강증진학회지
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• 제27권4호
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• pp.165-175
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• 2010

Objectives: The purpose of this study is to evaluate the program theory of a lifestyle intervention program for the prevention and treatment of metabolic syndrome. Methods: The program evaluated is a tailored intervention for multiple health behavior associated with metabolic syndrome which is informed by theoretical constructs from the Intervention Mapping and Transtheoretical model. The program components include one-to-one health counseling, a self-management handbook, and a health diary. To evaluate program impact theory we examined the logic of program goals and objectives, intervention methods and strategies, and the theoretical constructs of program materials through document review and matrix building. Results: This evaluation has found that the intervention program applied social cognitive theory constructs to design intervention methods and strategies in addition to the Transtheoretical model: self-monitoring for goal setting and monitoring skill, outcome expectation for the benefits of health behavior change, and interaction with environment for observational learning through modeling. While the intervention addresses multiple determinants and behaviors, it is limited to an individual level and lacks social and environmental approaches. Following the Transtheoretical framework, the contents of the intervention materials were developed utilizing consciousness raising as a main strategy for earlier stages of change, and counterconditioning and stimulus control for later stages of change. Conclusion: Program theory evaluation can be a process of enhancing program validity. It would also be necessary for providing basis for efficient program implementation. When comparisons of program theory between similar programs are possible, program theory and validity will be strengthened when comparisons of program theories between similar programs are possible.

• 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.

• 디지털융복합연구
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• 제13권12호
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• pp.259-268
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• 2015

청각처리장애는 정상 청력을 가졌음에도 불구하고 청각신경계에서 청각 정보를 처리하는 과정의 문제로 자신이 들은 소리를 이해하지 못한다. 본 연구는 최근 문헌들이 제시하는 청각처리장애의 중재 방법을 조사하여 청각 처리장애를 가진 아동을 위한 중재 안내도를 마련하고자 하였다. 청각처리장애를 가진 아동은 진단의 구체적 결함에 따라 Buffalo 모델과 Bellis/Ferre 모델의 유형으로 분류되고 결함을 치료하기 위한 문제중심 중재 전략과 결함의 영향을 관리하는 전반적 중재 전략이 결정된다. 그리고 문제중심 중재 전략은 두 모델의 유형별 특징에 따라 맞춤 전략으로 구성되고, 전반적 중재 전략은 보상 전략, 청능훈련, 환경수정 등이 추천된다. 이러한 중재가 진행되기 위해서는 다학문적 팀에 의해 아동의 청각 기능을 향상시킬 수 있는 다양한 중재 방법들을 선정하고 집중적이고 지속적으로 제공하여야 한다. 청각처리장애의 중재 안내도는 청각처리장애 확인, 중재, 재평가, 수정된 중재 단계로 구성되었다. 이 안내도를 통해 청각처리장애가 의심되거나 청각처리장애를 진단 받은 아동의 어려움을 줄이기 위하여 관련 임상가와 교사들이 적절한 중재 방법과 절차를 찾을 수 있도록 돕고자 하였다.

• Journal of Preventive Medicine and Public Health
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• 제44권3호
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• pp.101-110
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• 2011

Objectives: Screening for colorectal cancer is considered cost effective, but is underutilized in the U.S. Information on the efficiency of "tailored interventions" to promote colorectal cancer screening in primary care settings is limited. The paper reports the results of a cost effectiveness analysis that compared a survey-only control group to a Centers for Disease Control (CDC) web-based intervention (screen for life) and to a tailored interactive computer-based intervention. Methods: A randomized controlled trial of people 50 and over, was conducted to test the interventions. The sample was 1224 partcipants 50-70 years of age, recruited from Kelsey-Seybold Clinic, a large multi-specialty clinic in Houston, Texas. Screening status was obtained by medical chart review after a 12-month follow-up period. An "intention to treat" analysis and micro costing from the patient and provider perspectives were used to estimate the costs and effects. Analysis of statistical uncertainty was conducted using nonparametric bootstrapping. Results: The estimated cost of implementing the web-based intervention was $40 per person and the cost of the tailored intervention was $45 per person. The additional cost per person screened for the web-based intervention compared to no intervention was $2602 and the tailored intervention was no more effective than the web-based strategy. Conclusions: The tailored intervention was less cost-effective than the web-based intervention for colorectal cancer screening promotion. The web-based intervention was less cost-effective than previous studies of in-reach colorectal cancer screening promotion. Researchers need to continue developing and evaluating the effectiveness and costeffectiveness of interventions to increase colorectal cancer screening.