Purpose : This study aimed to identify the prevalence and risk factors of cognitive impairment in survivors discharged from the intensive care unit (ICU). Methods : This secondary analysis study utilized data from a multicenter prospective cohort of post-ICU patients. We analyzed the data of 175 patients enrolled in the primary cohort who completed the cognitive function evaluation three months after ICU discharge. Cognitive function was assessed using the Montreal Cognitive Assessment (MoCA) scale. The cut-off points for cognitive impairment were < 23 for face-to-face evaluation and < 18 for telephone evaluation. Results : The prevalence of cognitive impairment three months after ICU discharge was 32.6%. Significant risk factors for cognitive impairment were age ≥ 60 years (OR=10.52, 95% CI=3.65~30.33, p<.001), education < high school graduation (OR=2.53, 95% CI=1.07~6.01, p=.035), unplanned ICU admission (OR=4.01, 95% CI=1.45-11.14, p=.008), and delirium in the ICU (OR=4.33, 95% CI=1.08-17.23, p=.038). Conclusion : ICU nurses should use preemptive strategies to reduce post-ICU cognitive impairment of patients with risk factors. It is necessary to frequently assess and detect early delirium in critically ill patients, while attempting various non-pharmacological interventions.
The Journal of Churna Manual Medicine for Spine and Nerves
/
v.10
no.1
/
pp.97-106
/
2015
Objectives: The Purpose of this study is to report three cases on tension-type headache treated by Chuna manipulative therapy. Methods: Three patients diagnosed tension-type headache were treated with Chuna manipulative therapy only. To evaluate effect of treatment, visual analogue scale(VAS) and headache impact test(HIT) were used. We checked VAS and HIT score three times(pretreatment, post-treatment, follow-up). An interval among each evaluation time is 4 weeks. Results: At post-treatment evaluation, VAS and HIT score declined significantly compared with pre-treatment. At follow-up evaluation, the pain did not increased. Conclusions: These results suggests that Chuna manipulative therapy may be effective for tension-type headache.
International Journal of Computer Science & Network Security
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v.21
no.12spc
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pp.365-374
/
2021
This study set off to explore the effect of interactive videos on developing mind mappings skills required for the common first-joint year students at Umm Al-Qura University. Towards this end, the experimental research design of a quasi-experimental of two experimental groups was adopted. The research tools consisted of an achievement test of the cognitive aspects of mind mapping skills and a product evaluation form of mind mapping skills. Results showed statistically significant differences at the significance level (α 0.05) between the mean scores of the two experimental groups who studied the educational video regardless of the type of video in the pre-post cognitive test of the mind mapping skills and the form of product evaluation. Besides, there are statistically significant differences at the significance level (0.05≥α) between the mean scores of the first experimental group who studied the conventional educational video and the mean scores of the second experimental group who studied the interactive educational video. This significant difference was in the posttest of mind mapping skills and in favor of the group who studied the interactive educational video. Nevertheless, there were no statistically significant differences at the significance level (0.05≥α) between the mean scores of the first and second experimental groups in the post-application of the product evaluation form of mind mapping skills. The researcher recommended using the interactive video in teaching courses to common first-year students. It also recommends organizing courses for the faculty members to train them on using interactive videos in their teaching.
International Journal of Advanced Culture Technology
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v.9
no.4
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pp.29-39
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2021
Cognitive behavioral therapy (CBT) is effective for people with an addiction tendency. This study aims to implement a CBT program for college students at high risk of smartphone addiction and investigate the impact of the program on their desire to use a smartphone, depression, impulsivity, and anxiety. Baseline/post-intervention evaluation and the ABA' single-case experimental design were used. The study consisted of the baseline phase (A), pre-evaluation, intervention phase (B), post-evaluation, and baseline phase (A'). Six participants were enrolled, and the main outcome variables were daily changes in the desire to use a smartphone and changes in depression, impulsivity, and anxiety after the program. Prior to the intervention, all six participants had mild to moderate depression, but after the intervention, three were normal, two had mild depression, and only one had moderate depression. Impulsivity and anxiety scores decreased after the intervention, with anxiety scores showing the most dramatic change. The percentage of non-overlapping data for the baseline phase (A)-intervention phase (B) was more than 75% and that for baseline phase (A)-baseline phase (A') was 100% for all 6 participants. This study presented a good protocol for people with low access to psychological therapy. We expect the findings will be highly useful for people suffering from psychological difficulties due to smartphone addiction.
Stable and effective constraint enforcement system is one of the crucial components for physically-based dynamic simulations. This paper presents analysis and evaluation for traditional constraint enforcement systems(Lagrange Multiplier method, Baumgarte stabilization method, Post-stabilization method, Implicit constraint enforcement method, Fast projection method) to provide a guideline to users who need to integrate a suitable constraint enforcement system into their dynamic simulations. The mathematical formulations for traditional constraint enforcement systems are presented in this paper. This paper describes a summary of evaluation which consists of constraint error comparison, computational cost, and dynamic behavior analysis to verify the efficiency of each traditional constraint enforcement system.
Background: Radiographic modalities have been commonly used to evaluate pectus carinatum (PC), and compressive orthotic bracing is the most widely accepted treatment method. The aim of this study was to determine the efficacy of 3-dimensional (3D) body surface scanning as an alternative modality for the evaluation of PC. Methods: The medical records of 63 patients with PC who were treated with compressive orthotic bracing therapy between July 2017 and February 2019 were retrospectively analyzed. Using both 2-view chest radiography (posteroanterior and lateral view) and 3D body scanning, the height of maximal protrusion of the chest wall was measured both before and after 2 weeks of bracing therapy. The difference between the pre- and post-treatment measurements was calculated for both modalities, and these differences were compared and analyzed. Results: Based on the comparison between the pre- and post-treatment radiographs, bracing therapy produced favorable outcomes in all patients (p<0.001). The measurements obtained via 3D scanning were strongly correlated with those obtained via chest radiography (r=0.60). Conclusion: Based on the findings of this study, 3D body surface scanning appears to be an effective, radiation-free, and simple method for the post-treatment follow-up evaluation of PC, and thus can be considered an alternative to radiography.
The Journal of Korean Academic Society of Nursing Education
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v.2
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pp.7-19
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1996
The purpose of this study was to analysis the effect of service education that would improve the image of nursing as a qualified nurse. This study was designed one group pretest-posttest design. The sample was consisted of 274 nurses who was all of the nurses participated in the education of service. The education was provided during eight hours a day each group. The program of the education was devided eight sections and each section had it's own individual teacher. The member of each group was consisted of about twenty-five nurses. The questionnaire was developed by researchers and was applied two times just at the preeducation and two weeks after the education. The criteria of the developed questionnaire was consisted of two aspects, one was recognizant aspect of service and the other was behavioral aspect of service. The reliability of the questionnaire was Chronbach's $\alpha$=0.778. The questionnaire was exammed collected in the morning when the education of the service was started and two weeks after the education. The data were analyzed by descriptive statistics, paired T-test, Pearson's correlations. The result of the study are as follows : 1. There was a significant difference in the aspect of recognition of service between pre and post self-evaluation. 2. There was no significant difference in the aspect of behavior service between pre and post self-evaluation. 3. There was a significant difference in the aspect of total sense, score between pre & post self-evaluation. 4. There was a significant correlation between clinical experience and aspect of recognition of service. The positive correlation was shown in the longer clinical experience between nurse's role and service. But there was not a statistically significant correlation between clinical experience and aspect of behavior of service. Through the result it can be concluded that the education of service was needed to improve image of nursing as a practical and basic factor for the nurses, even though the education was not directly related to the nures's professional knowledge and skills.
The purpose of the study is to explore the perceptions or attitudes about utilizing the AWE(Automated Writing Evaluation), Grammarly in English writing. A total of 131 students who are in first grade and in beginner level participate in the study. As a research tool of the study, pre and post-surveys, pre and post-tests, and learning journals were collected and analyzed. The study was conducted for 15 weeks in the 2nd semester of 2019. According to the results, the findings are as follows. First, the students in the study had difficulty with English grammar and found it useful to get English feedback in English writing. Next, the students showed positive attitudes toward the use of Grammarly. It was helpful for English learning and assignment performance and showed high usefulness. Finally, Grammarly's effect showed a statistically significant result between the pre and post-tests. Based on the results some suggestions are as follows. First, let the students take some time with the program to use to operate. Second, teachers have to make the students understand that AWE's feedback is not always correct. Lastly, it should be provided with teachers' feedback.
Journal of the Korean Institute of Landscape Architecture
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v.31
no.5
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pp.58-72
/
2003
Rooftop greenery has been used as a way to solve urban environmental problems by creating green space in densely populated cities. This study was carried out to suggest more effective designs for roof-garden at hospitals through a post-occupancy evaluation. The roofgarden of Asan Medical Center was evaluated with regards to setting, proximate environmental context, users, and design activity by a multi-method including plan investigations, observations, in-depth interviews and questionnaires. The results are summarized as follows; the users' main activities included resting, walking, and talking. A number of users were observed at shaded spaces sitting on such things as benches, pergolas, and shelters. The satisfaction of the users showed high satisfaction level except in the amount of shade, facilities, and shelter. The variables affecting a overall satisfaction were ‘accessibility’, ‘safety’, ‘quality of surroundings’, and ‘suitability for speculation’. By comparing the design concept with using pattern, designer's intention was not reflected sufficiently in several aspects such as ‘event deck for therapy programs’, ‘grove and path’, and ‘low planters’. This study suggests some design implications; it is necessary to furnish shaded sitting places for passive behaviors and pathways for walking or a light exercise. A wind-break wall with glass windows could widen the users' views in a limited space. Natural shade like tree shade or pergola are more desirable than artificial shades. As for the vertical location of the roofgarden, the middle floor could be better than top area for accessibility. Characteristics of building and users should be considered in detail to provide distinct spaces. Proper technical standards for the greening of artificial ground should be established.
A simplistic approach towards evaluation of complete load deflection response of Reinforced Concrete (RC) flexural members under post fire (residual) scenario is presented in this paper. The cross-section of the RC flexural member is divided into a number of sectors. Thermal analysis is performed to determine the temperature distribution across the section, for given fire duration. Temperature-dependent stress-strain curves for concrete and steel are then utilized to perform a moment-curvature analysis. The moment-curvature relationships are obtained for beams exposed to different fire durations. These are then utilized to obtain the load-deflection plots following pushover analysis. Moreover one of the important issues of modeling the initial stiffness giving due consideration to stiffness degradation due to material degradation and thermal cracking has also been addressed in a rational manner. The approach is straightforward and can be easily programmed in spreadsheets. The presented approach has been validated against the experiments, available in literature, on RC beam subjected to different fire durations viz. 1hr, 1.5hrs and 2hrs. Complete load-deflection curves have been obtained and compared with experimentally reported counterparts. The results also show a good match with the results obtained using more complicated approaches such as those involving Finite element (FE) modeling and conducting a transient thermal stress analysis. Further evaluation of the beams during fire (at elevated temperatures) was performed and a comparison of the mechanical behavior of RC beams under post fire and during fire scenarios is made. Detailed formulations, assumptions and step by step approach are reported in the paper. Due to the simplicity and ease of implementation, this approach can be used for evaluation of global performance of fire affected structures.
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