• Title/Summary/Keyword: quality of joint

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Relationships among Uncertainty, Distress, and Quality of Life in Lung Cancer Patients: Mediating effect of Resilience (폐암 환자의 불확실성과 디스트레스가 삶의 질에 미치는 영향: 극복력의 조절효과)

  • Lee, Jungah;Kim, Minju
    • Journal of muscle and joint health
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    • v.25 no.2
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    • pp.148-156
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    • 2018
  • Purpose: The purposes of this study were to examine health-related quality of life and to identify the mediating effect of resilience on the relationship among uncertainty, distress, and health-related quality of life in lung cancer patients. Methods: A total of 149 lung cancer patients visiting the D hospital in B city completed a questionnaire, including demographic and disease-specific characteristics, uncertainty, distress, resilience, and health-related quality of life. Data were analyzed with descriptive analysis, t-tests, ANOVA, and multiple regression analyses via SPSS 24. Results: Health-related quality of life was $81.00{\pm}21.39$ (range 0~136) in lung cancer patients. In the results of hierarchical regression analyses, the health-related quality of life was associated with education, uncertainty, distress, and resilience. However, there was no mediating effect of resilience on the relationship among uncertainty, distress, and health-related quality of life. Conclusion: Lung cancer patients with high uncertainty and distress and low resilience could experience low health-related quality of life. In order to reduce uncertainty and distress, it is necessary to provide more detailed, systematic information and support, while reinforcing positive thinking.

Stigma, Self-esteem and Quality of Life of People with Hansen's Disease (한센병력자의 낙인, 자아존중감 및 삶의 질)

  • Yoo, Yang-Sook;Kim, Bock-Ryn;Cho, Ok-Hee
    • Journal of muscle and joint health
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    • v.19 no.3
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    • pp.272-281
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    • 2012
  • Purpose: The purpose of this study was to identify levels of perceived stigma, self-esteem, quality of life and factors influencing on quality of life in people with Hansens' disease. Methods: The subjects were 128 people in Sorokdo National Hospital, two nursing homes, and three settlements. The stigma scale, self-esteem scale, and World Health Organization's quality of life instrument were used. Data were collected through self-reported questionnaires from July to August, 2010 and analyzed by t-test, ANOVA, Ducan's multiple range test, Pearson's correlation coefficients, and stepwise multiple regression by SAS. Results: The level of perceived stigma was 3.93, self-esteem was 26.2, quality of life was 2.78. Self-esteem was positively associated with quality of life. Through the multiple regression, it was found that self-esteem and job were factors influencing of quality of life with 43% of predictability. Conclusion: It was found that self-esteem and job were important for people with Hansen's disease. To improve the quality of life in people with Hansen's disease, it is necessary to develop nursing interventions fostering self-esteem and decreasing perceived stigma.

Therapeutic lumbar facet joint nerve blocks in the treatment of chronic low back pain: cost utility analysis based on a randomized controlled trial

  • Manchikanti, Laxmaiah;Pampati, Vidyasagar;Kaye, Alan D.;Hirsch, Joshua A.
    • The Korean Journal of Pain
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    • v.31 no.1
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    • pp.27-38
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    • 2018
  • Background: Related to escalating health care costs and the questionable effectiveness of multiple interventions including lumbar facet joint interventions, cost effectiveness or cost utility analysis has become the cornerstone of evidence-based medicine influencing coverage decisions. Methods: Cost utility of therapeutic lumbar facet joint nerve blocks in managing chronic low back pain was performed utilizing data from a randomized, double-blind, controlled trial with a 2-year follow-up, with direct payment data from 2016. Based on the data from surgical interventions, utilizing the lowest proportion of direct procedural costs of 60%, total cost utility per quality adjusted life year (QALY) was determined by multiplying the derived direct cost at 1.67. Results: Patients in this trial on average received $5.6{\pm}2.6$ procedures over a period of 2 years, with average relief over a period of 2 years of $82.8{\pm}29.6$ weeks with $19{\pm}18.77$ weeks of improvement per procedure. Procedural cost for one-year improvement in quality of life showed USD $2,654.08. Estimated total costs, including indirect costs and drugs with multiplication of direct costs at 1.67, showed a cost of USD $4,432 per QALY. Conclusions: The analysis of therapeutic lumbar facet joint nerve blocks in the treatment of chronic low back pain shows clinical effectiveness and cost utility at USD $2,654.08 for the direct costs of the procedures, and USD $4,432 for the estimated overall cost per one year of QALY, in chronic persistent low back pain non-responsive to conservative management.

Customer-Supplier Joint Action & Shared Results (구매-공급자간의 공동활동과 그에 따른 결과의 공유)

  • Jung, Seung-Ho
    • IE interfaces
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    • v.13 no.3
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    • pp.306-319
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    • 2000
  • The purpose of this research is to study customer-supplier relationships, particularly their partnerships, to help managers and practitioners successfully design, develop, implement and deploy tools and joint practices as a means for an effective supply chain management (SCM). To achieve this purpose, a total of 1,811 potential survey questionnaire respondents responsible for purchasing, sales/marketing, quality-, and production- or operations-related functions of U.S. private manufacturing companies in SIC 35, 36, and 37 were used to collect quantitative data. Using 172 usable survey questionnaire responses, eight hypothesized relationships were tested using two independent (joint use of specific tools and joint practices) and four dependent variables (informed partners, role integrity, conflict resolution, and mutuality). From the overall perspective (customer+supplier), organizations with higher levels of joint action have higher degrees of informed partners whereas organizations with higher levels of joint action resolve conflicts formally and do not have higher degrees of mutuality.

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The Study of Grashey Method Viewing the Glenohumeral(shoulder) Joint (어깨관절의 접시오목을 나타내는 Grashey법에 대한 연구)

  • Lee, Jaeseob;Kim, Youngjae
    • Journal of the Korean Society of Radiology
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    • v.9 no.6
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    • pp.331-335
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    • 2015
  • Consideration of Glenohumeral joint's image with the Changed Body angle of the Glenohumeral joint's Oblique Position in Erect Position. Glenohumeral joint's of Grashey method is a shoulder oblique method available to view the shoulder joint. Grashey method projects AP view of the Glenohumeral joint's so that the Humerus head's subluxation or joint degeneration can be easily visualized. However in this view, the patients, erect position, have to keep their body obliquely. Oblique position is will be needed to get the good quality Glenohumeral joint's view. Therefore, we thought of examining a method which shows the Glenohumeral joint's well by angling the patient one side upward in erect position. For this study, total 20 subject with no history of neurological or psychiatric illness, were recruited for examinations. They consisted of 13 mails and 7 femails, Statistic group analysis was performed with ANOVA test. Score of the evaluation of the expects were $30^{\circ}$ at $0.40{\pm}0.499$, $35^{\circ}$ at $1.34{\pm}0.657$, $40^{\circ}$ at $1.84{\pm}0.573$, $45^{\circ}$ at $0.76{\pm}0.649$, and they were significant(P<0.05). The degree of $40^{\circ}$ views were shown to yield good quality shoulder oblique images.

Properties of Butt Joint in $Nb_{3}$Sn Conductors with change of Surface Pressure (접촉 면압에 따른 $Nb_{3}$Sn 도체의 Butt 접합부 특성)

  • 이호진;김기백;김기만
    • Proceedings of the Korea Institute of Applied Superconductivity and Cryogenics Conference
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    • 2002.02a
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    • pp.253-255
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    • 2002
  • Since a butt Joint is smaller than a lap type joint, it is expected to have smaller AC losses. The butt joint is produced by the diffusion bonding of the contacting surface under pressured and heated condition. It is important to find robust joining conditions, because butt joint has small contact area and has the shape by which the quality of bonding is hard to be checked. In this research, the loading pressure is considered as the joining parameter to find optimum joining condition. The DC resistance of the joint may be changed by the surface pressure during joining process, because the superconducting strands near the contact surface are failed by large plastic deformation. The range from 10 MPa to 18 MPa is expected optimum surface pressure in the conditions of 1 hour heating time and $750^{\circ}C$ temperature in the vacuum furnace.

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Effects of Short Term Selp-help Education on Pain, Depression, Self-efficacy, and Quality of life in Patients having Chronic Arthritis (단기 자조관리교육이 만성관절염 환자의 통증, 우울, 자기효능감 및 삶의 질에 미치는 영향)

  • Im, Nan-Young;Lee, Eun-Young
    • Journal of muscle and joint health
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    • v.4 no.2
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    • pp.249-261
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    • 1997
  • The purpose of this study was to explore the effect of short term selp-help education on pain, depression, self-efficacy, and quality of life in patients having chronic arthritis. This program was carried out 3 hrs per week for 4 weeks by 3 small groups among 10 patients. Research design was a quasi-experimental study of nonequivalent control group pretest-posttest design. The subject of this study were 10 of experimental group and 10 of control group. Before and after 4 weeks program, quality of life, self-efficacy, depression, pain, ADL were measured. As a result, it was confirmed the self-help education was effective to increase quality of life, but self-efficacy, depression, pain, ADL were not improved. This suggests the replicate study to examine the effect of self-help education with the large samples of subjects having chronic arthritis.

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Factors Affecting the Quality of Life of Family Caregivers of Patients with Parkinson Disease (파킨슨병 환자 가족의 삶의 질에 미치는 영향요인)

  • Kim, Gyuri;Kim, Minju
    • Journal of muscle and joint health
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    • v.26 no.2
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    • pp.102-110
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    • 2019
  • Purpose: The purpose of this study was to investigate the factors affecting the quality of life of family caregivers of patients with Parkinson disease in Korea. Methods: A total of 162 family caregivers of patients with Parkinson disease who were visiting the D hospital in B city completed questionnaires, including general and disease-specific characteristics, family burden, patient-caregiver relationship satisfaction, family support and quality of life. Data were analyzed with t-test, ANOVA with $Scheff{\acute{e}}$ test, Pearson's correlation coefficient, and multiple regression analysis using SPSS 23.0. Results: The average score of the quality of life was $85.54{\pm}17.74$ (range: 26~130) among family caregivers of patients with Parkinson disease. Stepwise multiple regression analysis revealed that fifty percent of the quality of life was explained by family support, family burden, and patient-caregiver relationship satisfaction. Conclusion: Family support, family burden, and patient-caregiver relationship satisfaction were identified as factors affecting the quality of life of family caregivers of patients with Parkinson disease. Therefore, it is necessary to develop a program to enhance family support and reduce family burden to improve the quality of life of family members caring for patients with Parkinson disease.

Effect of Perceived Health Status, Sleep and Depression on Quality of Life of Elderly School Participants (일개 시 노인대학 노인들의 지각된 건강상태, 수면, 우울이 삶의 질에 미치는 영향)

  • Chang, Koung-Oh;Bae, Do-Yi;Park, Su-Gin
    • Journal of muscle and joint health
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    • v.19 no.3
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    • pp.329-339
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    • 2012
  • Purpose: This study was to examine the effect of perceived health status, sleep and depression on quality of life of older people in the elderly school. Methods: A cross-sectional descriptive study was conducted with a survey of 155 older persons in person 2 elderly school at J City. The data were analyzed with t-test, ANOVA, Pearson's correlation coefficients, and multiple regression using SPSS WIN 18.0 program. Results: The mean score of the quality of life was 8.10 (SD=8.79). Quality of life was significantly different by educational levels (F=4.711, p=.001). The result of the regression indicated that perceived health status, sleep, and depression explained 18.5% of variance in quality of life. Conclusion: Perceived health status, sleep and depression were associated with quality of life in the elderly. It is necessary to develop nursing strategies for the improvement of quality of life, considering health status, sleep, and depression in the elderly.

Analysis Study of Quality of Life in Home stayed Arthritis Patients (재가 관절염환자의 삶의 질 관련요인 분석)

  • Suh, Moon-Ja;Kim, Keum-Soon;Roh, Kook-Hee
    • Journal of muscle and joint health
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    • v.9 no.2
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    • pp.166-176
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    • 2002
  • The purpose of this study was done to identify analysis study quality of life in home stayed arthritis patients. The subject for this study were 56 arthritis patients in K city and boundary area resident, and period of data collection was from July, 2000 to November, 2000. The results are as follows. 1. Mean score of Quality of life was $171.13{\pm}44.08$(range from 66 to 244), Mean score of depression was $36.71{\pm}12.11$(range from 18 to 64), score of social support was $3.96{\pm}5.30$(range from 0 to 19), and score of stress was $322.80{\pm}34.18$(26 to 2316). 2. Main demographic factor influenced upon quality of life was age, sex, educational level and marital status, and main Physical factor influenced upon qualify of life was height, systolic and diastolic blood pressure. 3. Quality of life was correlated negatively with depression, and positively social support. 4. quality of life in home arthritic patient was explained 68% by depression, age and social support. In conclusion, nursing intervention of arthritic patient in home considers age, social support and depression in order to promote quality of life.

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