• Title/Summary/Keyword: methods: observational

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Effect of Korean Medicine Treatments in Patients with Proximal Tibia Fracture: A Retrospective Observational Study (경골 근위부 골절 환자에 대한 한의학적 치료 효과: 후향적 관찰 연구)

  • Lee, Jung Min;Lee, Eun-Jung
    • Journal of Korean Medicine Rehabilitation
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    • v.30 no.3
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    • pp.141-149
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    • 2020
  • Objectives The purpose of this study is to find the effect of Korean medicine treatments on pain reduction and range of motion recovery in patients with proximal tibia fractures. Methods We studied 15 patients who had been diagnosed as proximal tibia fracture. This study was conducted as retrospective observational study which analyzed patient's medical records with IBM SPSS statistics 25 program. We used numeric rating scale to evaluate pain reduction and range of motion to observe the patient's recovery. Results The average of numeric rating scale reduced statistically significantly from 5.26±1.38 to 2.73±1.17 (p<0.001). The average of knee flexion range of motion increased statistically significantly from 81.11±34.34 to 117.66±19.01 (p<0.01). Conclusions We found that Korean medicine treatments have a positive effect on pain reduction and knee rom improvement in patients with proximal tibia fractures.

Breastfeeding and the Risk of Childhood Hodgkin Lymphoma: A Systematic Review and Meta-analysis

  • Wang, Ke-Lai;Liu, Chun-Lan;Zhuang, Yan;Qu, Hong-Yi
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.8
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    • pp.4733-4737
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    • 2013
  • Purpose: Numerous observational epidemiological studies have evaluated associations between breastfeeding and the risk of childhood Hodgkin lymphoma; however, the existing results are inconsistent. We therefore conducted a systematic review and meta-analysis. Methods: Medical literature was searched in the Pubmed and Embase databases to identify all English-language relevant studies up to April 10, 2013. Reference lists were thereafter hand-searched for additional articles. Studies that reported relative risk ratios (RRs) or odds ratios (ORs) with 95% confidence intervals (CIs) were included. This meta-analysis was conducted in accordance with the guidelines for the meta-analysis of observational studies in epidemiology. Results: We finally included 10 case-control studies in our meta-analysis, involving 1,618 childhood Hodgkin lymphoma cases and 8,181 controls. Overall, we did found a borderline significant association between breastfeeding and reduced risk of childhood Hodgkin lymphoma comparing ever breastfed children to never breastfed children (pooled OR =0.79; 95%CI, 0.58-1.08; P=0.13), with limited evidence for between-study heterogeneity (P =0.12, $I^2$ = 35.70%). Conclusion: There is limited evidence for an inverse association between breastfeeding and risk of childhood Hodgkin lymphoma.

Occupational Cooking and Risk of Uveal Melanoma: a Meta-analysis

  • Ge, Yi-Rui;Tian, Nong;Lu, Yan;Wu, Yong;Hu, Qin-Rui;Huang, Zheng-Ping
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.10
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    • pp.4927-4930
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    • 2012
  • Background: Many observational studies have assessed the possible association between occupational cooking and uveal melanoma risk, but reported results are controversial. Our goal was to evaluate the association between occupational cooking and uveal melanoma risk by conducting a meta-analysis of observational studies. Methods: PubMed, EMBASE, and Web of Science were searched through June 2012 to identify all eligible studies. The pooled odds ratio (OR) with its 95% confidence interval (95%CI) was used to evaluate this association. Either a fixed- or a random-effects model were used to calculate pooled ORs. Results: Five case-control studies involving a total of 1,199 cases and 6,927 controls were included in the meta-analysis. Overall, occupational cooking was associated with an increased risk of uveal melanoma (OR: 1.81, 95%CI 1.33-2.46, P < 0.001). Subgroup analysis by gender suggested occupational cooking was associated with increased risk of uveal melanoma in both men (OR: 2.16, 95%CI 1.06-4.40, P = 0.034) and women (OR: 1.92, 95%CI 1.19-3.10, P = 0.008). Conclusion: This meta-analysis suggests that occupational cooking is associated with an increased risk of uveal melanoma in both men and women.

A Study on Nonresponse Adjistment by Using Propensity Scores (성향점수를 이용한 무응답 보정 연구)

  • Lee, Kay-O
    • Survey Research
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    • v.10 no.1
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    • pp.169-186
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    • 2009
  • The propensity score method is used to minimize the bias level in social survey, which comes from nonresponse. The theoretical concept and the background of the propensity score method is discussed first. The propensity score method was first applied in the epidemiology observational study. I have summarized the process of the three propensity score methods that were used to reduce estimation bias in this study. Matching by propensity score is applied to the relatively large control group. Subclassification has the advantage of using whole control group data and regression adjustment is applied to multiple covariates as well as propensity score of each unit is computable and usable. Lastly, the application procedures of propensity score method to reduce the nonresponse bias is suggested and its applicability to real situation is reviewed with the existing data.

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A STUDY ON THE STRUCTURE INNOVATION OF ASTRONOMICAL INSTRUMENTS IN JOSEON DYNASTY - FOCUSING ON THE SOGANUI, THE ILSEONGJEONGSIUI, AND THE JEOKDOGYEONGWIUI - (조선 천체위치측정기기의 구조 혁신 - 소간의, 일성정시의, 적도경위의를 중심으로 -)

  • Kim, Sang-Hyuk;Mihn, Byeong-Hee;Lee, Min-Soo;Lee, Yong-Sam
    • Publications of The Korean Astronomical Society
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    • v.27 no.3
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    • pp.61-69
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    • 2012
  • The Ganui (簡儀, simplified armillary sphere) is a representative of astronomical instruments in Joseon Dynasty of Korea, as well as Yuan Dynasty and Ming Dynasty of China. In early 15th century, Joseon's scientists and engineers uniquely developed the Soganui (小簡儀, small simplified armillary sphere) and the Ilseongjeongsiui (日星定時儀, sun-and-star time determining instrument) from the structural characteristic of Ganui. These two astronomical instruments had a new design by the miniaturization and felt convinced a similar performance of Ganui in the harmony with Korean Astronomy and Astrology Cultures. Since mid-18th century after the enforcement of shixian-li (時憲曆), the Soganui and Ilseongjeongsiui handed over the Jeokdogyeongwiui (赤道經緯儀, equatorial armilla) by a change of the observational framework such as the time and angle measures. The Jeokdogyeongwiui made by Gwansanggam (觀象監, Bureau of Astronomy in Joseon Dynasty) adopted the new observational framework. We studied the structural characteristics and scientific values of these 3 astronomical instruments with theirs observation methods.

Study on Clinical Research Methodologies for Acupuncture: Based on Review of Clinical Studies on Back Pain (침 임상연구방법론 연구: 요통 임상연구 사례를 중심으로)

  • Park, Yu Lee
    • Korean Journal of Acupuncture
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    • v.31 no.4
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    • pp.158-167
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    • 2014
  • Objectives : The results from randomized controlled trials on traditional medicine have been negative or ambiguous. The appropriateness of the research methodology started to be questioned. However, the research methodology appropriate for studying traditional medicine has not been well-established. This study aims to explore the appropriate research methodologies for clinical studies on acupuncture. Methods : Clinical researches evaluating the efficacy and effectiveness of acupuncture for back pain were systematically searched and evaluated focusing on research methodology. The acupuncture treatment protocol is evaluated by 9 items which is individual treatment based on diagnosis, combining proximal and distal acupoints, exact location of acupoint, De Qi, adequate stimulation, duration of acupuncture, treatment sessions, treatment interval, and establishing relationship between patients and doctors. Results : Systematic review of acupuncture researches on low back pain suggested that observational studies and pragmatic trials rather than explanatory studies could incorporate these elements. Qualitative studies also could help understanding complex characteristics of acupuncture treatment which could not be evaluated by quantitative studies. Conclusions : In designing clinical researches on acupuncture, various study designs, especially observational study and pragmatic study, should be considered according to research objectives and subjects. The efforts to incorporate the core characteristics of acupuncture practiced in everyday clinical setting are also essential.

An Observational Research on the Limitations and Side Effects of Gamification in Educating Human Resources (인력교육에서 게이미피케이션의 한계와 역효과에 대한 관찰연구)

  • Kim, Sangkyun
    • Journal of Korea Game Society
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    • v.15 no.3
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    • pp.87-96
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    • 2015
  • Fun and happiness are the intrinsic values of the human beings. Game is one of the most efficient tools which satisfies those intrinsic values. Approaches and methods combining game and education to provide the enjoyable education environments have been increasing. As use of gamification in corporate and school education environments for human resources is increasing, significant voices of concern on the limitations and side effects of combining game and education are continuously increasing. The purpose of this paper is to energize the use of gamification in education environments by clarifying the limitations and side effects of gamification and seeking ways to overcome those factors. This paper summarizes an observational research on the limitations and side effects of gamification in education environments, and provides the interviewees' opinions on gamified classes.

Is There a Difference in Blood Flow Velocity between Bilateral Common Carotid Arterises in Community-Dwelling Elderly with Unilateral Chewing Habit and Forward Head Posture?: An Observational Cross-Sectional Study

  • Bae, Youngsook
    • Journal of International Academy of Physical Therapy Research
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    • v.11 no.1
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    • pp.1954-1959
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    • 2020
  • Background: Due to aging, blood flow rate decreases, also posture and chewing habit may be changed. Objective: To identify that changes in blood velocity in the common carotid arteries (CCAs) in old persons with unilateral chewing habit (UCH) and forward head posture (FHP) in the elderly. Design: An observational cross-sectional study. Methods: Chewing habits, FHP, and CCAs velocities were assessed in 85 elderly subjects. Chewing habits were measured by visual observation. CCAs measured the peak systolic velocity (PSV), end-diastolic velocity (EDV), minimum diastolic velocity, and resistivity index. The subjects were divided into UCH and bilateral chewing habit groups depending on chewing habit. The subjects were also divided into >49 degrees and <49 degrees for comparison of blood flow between the left and right CCAs. Results: In the UCH, the chewing side had significantly higher EDV (P=.003), PSV (P=.023) than the non-chewing side. There was no significant difference in velocity between the CCAs in the FHP. Conclusion: This study shows that the blood flow velocity of the chewing side of UCH was higher, and unilateral chewing affects the CCAs velocity and thus highlight the importance of chewing habit in the elderly than head posture.

Effects of Action Observational Physical Training Based on Mirror Neuron System on Upper Extremity function and Activities of Daily Living of Chronic Stroke Patients (거울신경세포시스템에 근간한 동작관찰-신체훈련이 만성 뇌졸중 환자의 상지기능과 일상생활활동에 미치는 영향)

  • Ko, Hyo-Eun
    • PNF and Movement
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    • v.13 no.4
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    • pp.175-180
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    • 2015
  • Purpose: This study aimed to examine the effects of mirror-neuron-system-based action observation physical training on improvements in upper extremity functions and daily living activities in chronic stroke patients. Methods: Ten chronic stroke patients were randomly selected. As a therapeutic intervention, along with conventional occupational therapy, the patients engaged in action observation physical training through repeated imitation practices after they viewed a video. The therapeutic intervention was implemented for 20 minutes, three times each week for eight weeks. A Manual Function Test (MFT) was conducted to compare upper extremity functions before and after the therapeutic intervention, and the Modified Barthel Index (MBI) was used to compare the ability to perform daily living activities. Results: Significant improvements in upper extremity motor functions and the ability to perform daily living activities were shown after the intervention. The subjects' left upper extremity motor functions and ability to perform daily living activities showed significant improvement after the intervention. Conclusion: The study's results indicate that action observation physical training based on the mirror neuron system improves chronic stroke patients' upper extremity motor functions and their ability to perform daily living activities. Therefore, action observation training has positive effects on the functional recovery of chronic stroke patients.

The Marital Interaction Coding System-Global(MICS-G): A Validation Study (포괄적 부부상호작용 코딩시스템(MICS-G) 국내 타당화 연구)

  • Park, Woochul
    • Human Ecology Research
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    • v.57 no.1
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    • pp.109-125
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    • 2019
  • Few studies have utilized observational methods in the field of couple research even though using self-report questionnaires is prone to the subjective biases of the reporter. This study validates the Marital Interaction Coding System-Global (MICS-G), a global version of the well-established microanalytic observational coding system, Marital Interaction Coding System (MICS). Participants in the study consisted of 30 married couples with varied levels of marital adjustment who visited one of the Healthy Family and Multicultural Family Support Centers in Seoul, either for couple therapy or the "Marriage Checkup"program. Ten-minute problem-solving discussions were rated by two undergraduate student raters who were trained for 10 hours. Interobserver agreement based on percentage agreement and intraclass correlation coefficients showed a high level of agreement between raters in establishing interrater reliability. Convergent validity was established by: correlations among marital adjustment, psychological aggression, mental health, and MICS-G categories of conflicts, validation, invalidation, facilitation, and withdrawal. MICS-G categories also were successful in discriminating between distressed and nondistressed couples, which provides evidence of discriminant validity for MICS-G. This study showed that MICS-G is a promising method for researchers to observe couple interactions in a more cost-effective way. Methodological issues and practical applications are also discussed.