• 제목/요약/키워드: outcome measures

검색결과 710건 처리시간 0.025초

비부비동염의 보완대체의학 약물치료에 대한 최신 임상 연구 동향 -RCT 연구를 중심으로 - (Review of Clinical Research for Herbal Medicine Treatment on Rhinosinusitis)

  • 장은하;민상연;김장현
    • 대한한방소아과학회지
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    • 제32권3호
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    • pp.44-54
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    • 2018
  • Objectives The purpose of this study is to analyze clinical studies on effectiveness of herbal medicine in rhinosinusitis. Methods We searched the randomized controlled trials (RCTs) with herbal medicine treatment on rhinosinusitis from the Pubmed in recent 10 years (from 2008 to 2018). Results 11 RCTs were reviewed. In 10 out of 11 studies showed that the herbal medicine may be effective in the treatment of chronic rhinosinusitis without nasal polyp and uncomplicated acute rhinosinusitis. However, inclusion and exclusion criteria, and outcome measures were varied among different studies. No serious adverse reactions were reported from the herbal medicine treatment. Conclusions The results of these trials showed that herbal medicine may be effective in the treatment of rhinosinusitis. Well-designed RCTs for domestic herbal medicine treatment on rhinosinusitis are needed to prove its efficacy clearly.

사회경제적 건강 불평등에 대한 생애적 접근법 (Lifecourse Approaches to Socioeconomic Health Inequalities)

  • 강영호
    • Journal of Preventive Medicine and Public Health
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    • 제38권3호
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    • pp.267-275
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    • 2005
  • Evidence on the relation of socioeconomic position (SEP) with health and illness is mounting in South Korea. Several unlinked studies and individually linked studies (longitudinal study) showed a graded inverse relationship between SEP and mortality among South Korean males and females. Based on the mortality relative ratios by occupational class reported in the published papers of South Korea and western countries, the magnitude of the socioeconomic inequality in mortality in South Korea seems to be similar to or even greater than that in western industrialized countries. A potential contribution of health related selection, health behaviors and psychosocial factors to explain this socioeconomic inequality in mortality was discussed. It was suggested that early life exposure measures would demonstrate a greater ability to explain socioeconomic inequalities in all-cause mortality than the above pathway variables in South Korea. This is based on the cause-specific structure of mortality among the South Korean population who have a relatively greater proportion of stomach cancer, hemorrhagic stroke, liver cancer and liver disease, and tuberculosis, which share early life exposures as important elements of their etiology, than western countries. However, the relative contribution of early and later life socioeconomic conditions in producing socioeconomic inequality in health may differ according to the outcome, thus remains to be investigated.

주간재활 프로그램이 산업재해 환자의 신체적, 정서적 기능에 미치는 효과 (The Effects of A Day Care Rehabilitation Program on Physical and Emotional Function of Patients with Job-related Injury)

  • 김미란;소희영
    • 재활간호학회지
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    • 제14권1호
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    • pp.54-61
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    • 2011
  • Purpose: The purpose of this study was to examine the effects of a day care rehabilitation program managed by nurses on physical and emotional function of patients with job-related injuries. Method: A one group pre-test and post-test quasi-experimental design was used. Thirty patients participated in a day care rehabilitation program and 9% of those were unable to complete the 16 weeks program due to absence. The physiotherapist, occupational therapist, and clinical psychologist offered the day care rehabilitation program, 5 times a week for 16 weeks. Outcome measures included physical and emotional function. Results: The program participants had significantly greater motor function (t=-2.85, p=.008) and activity of daily living (t=-5.34, p<.001), and lower depression (t=5.20, p<.001), state anxiety (t=4.71, p<.001), and trait anxiety (t=4.40, p<.001). Conclusion: The nurse managed day care rehabilitation program significantly improved physical and emotional function in patients with job-related injuries. The program should be further tested in a larger sample to validate the findings.

Comparison of Aerobic Exercise and Combination Exercise Program on Overall Physical Fitness and Mental Health in 20 Aged Subjects with Obesity

  • Lee, Eun-Sang;Kim, Gyeong-Tae;Lee, Seung-Won
    • 대한물리의학회지
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    • 제11권3호
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    • pp.89-96
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    • 2016
  • PURPOSE: The purpose of this study is to compare the effects of aerobic exercise and combination exercise on physical fitness, body composition, and depression and to observe the relationship between obesity and depression. METHODS: A total of 40 obese people were divided into an aerobic exercise group ($n_1$=20) and a combination exercise group ($n_2$=20) that was performed swiss ball exercise and aerobic exercise. Each group exercised three times per week for eight weeks. Outcome measures were basic physical fitness, body composition, and depression. RESULTS: After completion of the exercise, there was a significant difference in overall physical fitness factors of percentage body fat (%body fat), strength, muscle endurance, flexibility, cardiovascular endurance in the combination exercise group (p<.05). Strength, muscle endurance, flexibility, and cardiovascular endurance were more improved in the combination exercise group than aerobic exercise group (p<.05). However, changes of %body fat and psychological factor between the two groups were not significant. CONCLUSION: Combination exercise program has an effect on the solution of obesity in physical development and strength. Therefore, it seems to that use with better perform both aerobic exercise and Swiss ball exercise. In addition, the Swiss ball exercise, which is an easy, convenient and economical self-exercise that can be done at home, is recommended due to its positive effects on physical establishment and fitness.

기간분석에 따른 수정된 누적한계 추정량 (Modified Product-Limit Estimator via Period Analysis)

  • 김진흠;안윤옥
    • 응용통계연구
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    • 제19권3호
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    • pp.395-406
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    • 2006
  • 임상시험 연구나 역학 연구에서 환자들의 예후는 흔히 생존을 추정을 통해 수량화 되곤 한다. 하지만 코호트 분석이나 완전분석에 의한 생존율 추정량들은 수년 전에 진단된 환자에 크게 의존하기 때문에 실제 생존율보다 더 낮게 추정하곤 한다. 본 연구에서는 최근의 생존정보를 잘 반영하는 생존을 추정을 위해 기간분석 방법을 통한누적한계 추정량을 제안하였고, 그 방법을 1993년 1월-1997년 12월 사이에 조사된 서울시 암등록 자료(Ahn등, 2002)에 적용하여 결과를 고찰하였다.

반복측정된 자료에 대한 새로운 지속성 지수 (A new measure of tracking in repeated measurement data)

  • 강형곤;김병수
    • 응용통계연구
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    • 제10권1호
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    • pp.189-201
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    • 1997
  • 반복측정된 자료에 있어 어떤 특성이 시간의 경과에 따라서 계속적으로 일정수준을 유지할 경우 지속성 현상이 있다고 한다. 만성질환의 위험요인이 지속성 현상을 갖는다면 조기에 위험요인에 대한 처치를 통하여 만성질환을 예방할 수 있으므로 역학 연구에서 지속성을 규명하는 것은 매우 중요하다. 본 연구에서는 지속성을 전체 관찰시점을 통한 일치도 및 시간의 경과에 따른 유지도를 정의하고 반복측정된 자료로부터 지속성 현상을 설명할 수 있는 새로운 지속성 지수를 제안하였다. 모의실험을 통하여 제안통계량과 지속성 지수로 널리 이용되는 McMahan의 지수를 비교하여 본고에서 제안한 지수가 더 높은 검정력을 나타내고 있는 것을 관찰하였다. 또한 제안통계량을 실제 자료에 적용해 본 결과, 제안통계량은 지속성 현상을 적절하게 설명함을 보았다.

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노인여성의 하지근력 및 평형성 향상을 위한 지역사회 운동프로그램의 효과 (The Effects of Community-based Exercise Program to Improve Leg Muscle Strength and Balance for Elderly Women)

  • 김난수;김종순;이현옥
    • 대한물리의학회지
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    • 제5권4호
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    • pp.569-576
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    • 2010
  • Purpose : This study was aimed at determining the effects of community-based exercise program to improve leg muscle strength and balance for elderly women. Methods : This study was nonequivalent control group pre-post test design. Subjects were assigned to two different groups(exercise group=11, control group=7). Exercise group performed community-based exercise program for 8 weeks. Outcome measures included leg muscle strength, balance, walking velocity, activities of daily living(ADL), exercise self-efficacy and health-related quality of life(QoL). The collected data analyzed by independent t-test and paired t-test. Results : Leg muscle strength, walking velocity and mental component summary(QoL) were significantly improved in the exercise group. But balance and exercise self-efficacy were significantly worsened in the control group. There were no significant difference between groups after 8 weeks of community-based exercise. Conclusion : These results suggested that the community-based exercise program is effective for elderly women in improving leg muscle strength, walking velocity and mental component summary(QoL).

자기효능증진 금연프로그램이 청소년 흡연자의 흡연량, 호기 일산화탄소, 소변 내 코티닌 수치 및 자기 효능감에 미치는 효과 (The Effect of Self-Efficacy Promotion Smoking Cessation Program on the Amount of Smoking, CO, Urine Cotinine Level and Self-Efficacy for Adolescent Smokers)

  • 최은영;정성희
    • Journal of Korean Biological Nursing Science
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    • 제14권2호
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    • pp.103-111
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    • 2012
  • Purpose: The purpose of this study was to identify the effect of self-efficacy promotion of the smoking cessation program on the amount of smoking, carbon monoxide level, urine cotinine level and the smoking cessation self-efficacy of adolescent smokers. Methods: The subjects composed of 24 for the experimental group and 28 for the control group who were smoking adolescents at the Middle School in G city. The data collection was done from October 13 to November 18, 2010. A nonequivalent control group pretest-posttest design was used. This program was composed on the basis of Shin (1997)'s Self-Efficacy Promoting Program. The self-efficacy promotion smoking cessation program was conducted for 2 hours per week, and lasted for 6 weeks on the experimental group. The control group had a general smoking program. Data was analyzed using SPSS/WIN 14.0 program. T-test was used to analyze outcome measures. Results: The amount of smoking, CO level, urine cotinine level, and self efficacy level of the experimental group was significantly improved more than that of the control group after intervention. Conclusion: Therefore, self-efficacy promotion smoking cessation program for adolescent smokers can be recommended for smoking cessation of adolescents.

고유수용성신경근촉진법의 결합패턴과 공 운동을 통한 요부안정화운동이 만성 요통 환자의 통증 및 정적 균형에 미치는 영향 (The Effects of Combination Patterns of Proprioceptive Neuromuscular Facilitation and Ball Exercise on Pain and Balance in Chronic Low Back Pain Patients)

  • 이채우;김진섭;이인실
    • 대한물리의학회지
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    • 제7권1호
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    • pp.1-9
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    • 2012
  • Purpose : This study aimed to compare the effect of two modes (proprioceptive neuromuscular facilitation combination patterns and ball exercise) of low back stability for chronic low back patients. Methods : The subjects were recruited fourty patients who had low back pain. All subjects were randomly assigned to PNF combination patterns group, ball exercise group. Measurements were performed fourtimes: pre test, 2weeks, 4weeks, and 6weeks. Main outcome measures comprised the visual analogue scale(VAS), balance performance monitor(BPM). Results : The results were as follows. In the comparison of VAS score, sway area, sway path, and sway velocity according treatment period, score was significantly reduced in both PNF combination pattern group and ball exercise group. In the comparison of the both VAS and sway area between groups, there were significant. PNF combination pattern group significantly more decrease than ball exercise group at 6 weeks. However, both sway path and sway max velocity between group, there were not significantly. Conclusion : These results of this study indicated that PNF combination pattern which performed for six weeks had a significant influence than ball exercise group on low back pain.

자외선으로 유도된 피부손상에 대한 한의학계의 연구동향 (Analysis of Research Trend on Ultraviolet Induced Skin Damage in the Korean Traditional Medicine Field)

  • 김태연;성현경
    • 대한예방한의학회지
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    • 제19권2호
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    • pp.83-101
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    • 2015
  • Objective : In order to establish the scientific research methods to prove the effects of korean traditional medicine about ultraviolet induced skin damage, we investigated the research on ultraviolet induced skin damage in the korean traditional medicine field. Method : We searched the papers about ultraviolet induced skin damage published in the journals of korean traditional medicine. The searching end date was on June 29, 2015. Results : Thirty papers about ultraviolet induced skin damage were found. Twenty nine papers were experimental research, and one paper was clinical research. Sixty-three percent of papers were written the years after 2011. Fifty-seven percent of papers were published in the korean journal of oriental physiology & pathology and the journal of korean oriental medical ophthalmology & otolaryngology & dermatology. Main outcome measures of experimental research were anti-wrinkle effects, anti-oxidant capacity, anti-apoptosis effects, whitening effects and anti-inflammatory effects. Conclusion : We need more systematic research in order to prove the effects of korean traditional medicine, and use extensively.