• Title/Summary/Keyword: repeated measures ANOVA

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Effect of Senior Simulation on Geriatric Unit Nurses' Attitude and Job Satisfaction toward the Elderly (노인유사체험이 노인병동 간호사의 노인에 대한 태도와 업무만족에 미치는 영향)

  • Choi, Soowon;Park, Myonghwa
    • 한국노년학
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    • v.29 no.2
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    • pp.513-527
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    • 2009
  • The purpose of this study was to verify the effect of senior simulation on geriatric unit nurses' attitude and job satisfaction toward the elderly with one group pretest-posttest design. The subjects of this study were the 30 nurses who are working in geriatric units in a general hospital in Daegu, Korea and who were well informed about the purpose of this study and allowed to join the study. The data were collected from August 23 to September 6, 2006. The experimental procedure was to do activities for daily living for 45 minutes wearing senior simulation suit. Self administered questionnaires were used to ask the nurses' attitude toward the elderly and job satisfaction in their work before, right after, and one week after senior simulation. According to the results of this study, there were significant changes in the geriatric nurses' attitude toward the elderly and job satisfaction after aging simulation implying that senior simulation is an effective intervention to facilitate nurses to do quality care for the elderly with sympathetic understanding and attitude. Senior simulation needs to be applied to geriatric education for the nursing students and health care providers who are involved in care for the elderly.

Effects of Relaxation Techniques on Flexibility and Balance of the Lower Limb in Adults with Hamstring Shortening (넙다리뒤근 단축이 있는 성인에게 이완 기법의 적용이 하지의 유연성과 균형에 미치는 영향)

  • Jung-Woo Lee;Seong-Min Jeon;Ha-Yeong Kim;Jong-Yeon Bae;Song-Chan Son;Eun-Jin Song;Sang-Eun Sim;Hyeong-Uk Lee;Hye-Kyeong Lee;Baek-Gwang Jo;Sung-Bin Jo;Jin-Hee Joo;Ha-Yeon Jin;Jeong-Hyeon Hwang;Min-Hee Kim
    • PNF and Movement
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    • v.22 no.1
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    • pp.55-70
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    • 2024
  • Purpose: The purpose of this study was to investigate the effects of three relaxation techniques, namely, Static Stretching Exercise (SSE), Eccentric Contraction Exercise (ECE), and Suboccipital Muscle Release (SMR) on the flexibility and balance of the lower limb in adults with hamstring shortening. Methods: The participants were 45 adults in their 20s with hamstring shortening. They performed three exercises (i.e., SSE, ECE, and SMR) for two weeks. We measured flexibility, muscle tone and stiffness, proprioception, and balance before and after the intervention, applying each relaxation technique. Data were analyzed using two-way repeated measures analysis of variance (ANOVA). The significance level was set at α=0.05. Results: Flexibility increased in the SSE, ECE, and SMR groups, with the SSE group showing the greatest improvement. Muscle tone and stiffness decreased in all groups, with the ECE group exhibiting the highest reduction. Proprioception increased in the SSE, ECE, and SMR groups, with SSE demonstrating the greatest enhancement. Balance also increased in all groups, with the ECE group showing the most pronounced improvement. Conclusion: Overall, all three relaxation techniques for hamstring shortening resulted in improved flexibility, muscle tone and stiffness, proprioception, and balance of the lower limb in adults with hamstring shortening. The findings of this study underscore the importance of selecting an appropriate technique according to the purpose of treatment and the condition of the patient.

Effects of Whole Body Electric Muscle Stimulation Training on Body Composition and Heart Rate Variability based on Obesity Level in Women

  • Seung-Hyeon Lim;Jin-Wook Lee;Yong-Hyun Byun
    • Journal of the Korea Society of Computer and Information
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    • v.29 no.3
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    • pp.137-146
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    • 2024
  • The purpose of this study was to determine the effects of 12 weeks of WB-EMS training on body composition and heart rate variability based on BMI Level in Women. The subjects of the study were premenopausal women, and they were classified into the BMI-N(n=15) group for BMI<25, the BMI-1(n=16) group for BMI=25~29.9, and the BMI-2(n=9) group for BMI>30. And then, WB-EMS training was performed of 3 times a week for 12 weeks. Body composition and HRV were measured before and after the participation in exercise, which were subjected to a repeated-measures two-way ANOVA. In the case of a significant interaction between time and group, paired sample t-tests were conducted for a post-hoc analysis within each subject group. Tukey's method was used for post-hoc testing of differences between groups, and the significance level was set at 0.5. The results were as follows; First, The effect of WB-EMS training was found in all variables of body composition. In particular, Weight, BMI, FFM, and FM decreased the most in the BMI-2 group, followed by the BMI-1 and BMI-N groups. %BF and VF decreased the most in the BMI-2 group. Second, There was a difference in BPM in all groups, and the BMI-2 group showed the greatest decrease. There were differences in SDNN and RMSSD for each group, and there was no difference according to obesity level. There was no difference in LF, HF, and LF/HF ratio. In conclusion, it was confirmed that WB-EMS training can be an exercise therapy that has a positive effect on the body composition change and cardiac circulatory system in women with a high level of obesity.

The Effect of Participation in Survival Swimming Education on Underwater Anxiety and Water Safety Awareness of University Students (생존수영교육 참여가 대학생의 수중불안과 수상안전 의식에 미치는 영향)

  • Myung-Chul Lee;Kyung-Hun Han
    • Journal of the Korean Applied Science and Technology
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    • v.40 no.6
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    • pp.1201-1212
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    • 2023
  • This study aimed to analyze the changes in underwater anxiety and water safety consciousness among college students through participation in survival swimming education and the relationship between these changes and various factors. To achieve this, 200 college students who were participating in survival swimming education from universities located in the Busan-Ulsan-Gyeongnam region were selected as participants using convenience sampling. Among them, a final valid sample of 191 students was utilized. Data analysis was conducted using SPSS 25.0 statistical software, including exploratory factor analysis, reliability analysis, paired sample t-test, repeated measures ANOVA. The results are as follows: Firstly, college students who participated in survival swimming education showed a decrease in post-test underwater anxiety and an increase in water safety consciousness compared to pre-test. Secondly, the interaction between the groups based on the presence or absence of swimming education experience and time showed a significant effect only in the safety education, a sub-factor of water safety consciousness. Based on these results, the effectiveness of survival swimming education for college students could be confirmed, and further directions for expanding survival swimming education in university settings could be considered.

Comparison between Affective Responses to Tactile Stimuli Based on the Presence of Visual Information Presentation (시각 정보 제시 여부에 따른 촉각 자극에 대한 정서 반응 비교)

  • Jisu Kim;Chaery Park;Jongwan Kim
    • Science of Emotion and Sensibility
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    • v.27 no.2
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    • pp.15-24
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    • 2024
  • Previous studies on texture and emotion have focused on identifying precisely which tactile stimuli trigger specific emotions. Despite the significant role of vision in tactile perception, research has so far only focused on the singular aspect of texture. In this study, we used tactile stimuli to investigate the effects of three variables-roughness, hardness, and visual blocking-on the affective responses to tactile perception. The experimental stimuli that can be encountered in daily life were selected based on the four conditions of "rough/hard," "rough/soft," "smooth/hard" and "smooth/soft" by crossing two roughness conditions (rough, smooth) and two hardness conditions (hard, soft). The experiment was divided into two sessions depending on whether or not visual blocking existed. Participants completed a session in which they evaluated a tactile stimulus after touching it without seeing it and then proceeded with a session in which they evaluated a stimulus after touching it with sight of it. The results of the repeated-measures ANOVA showed that individuals reported a more positive perception when touching stimuli with visual cues and more negative when touching stimuli without visual cues. Furthermore, the inclination to perceive smooth and soft stimuli more positively and rough stimuli more negatively was stronger when touching without visual cues. The results of this study suggest implications for enhancing the understanding of the interaction between emotion and visual information processing by elucidating how emotions are experienced differently in situations where visual information is provided and where it is not.

The effect of postural abdominal breathing exercise on posture muscle activity and respiratory function in adults in their 20s (자세에 따른 복식호흡 운동이 20대 성인의 자세근육 활성도 및 호흡 기능에 미치는 영향)

  • Lee, Jun-cheol
    • The Journal of the Convergence on Culture Technology
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    • v.6 no.2
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    • pp.341-348
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    • 2020
  • This research is to find out which position is more effective on exercise. This study compared paricipants in their twenties on sitting position & standing position doing abdominal breathing of their respiration & abdominal muscle activation for 4 weeks. In sitting position, FEV1 was the biggest after breathing exercise. In standing position, the gap was biggest between the FEV1 & forced expiratory flow before and after the exercise. In standing and supine position, Lt. rectus abdominis before exercise and Rt. rectus abdominis after exercise muscle activities were the biggiest. Both posture exercise of repeated measure of analysis result, before and after the exercise of the rectus abdomonis muscle and external oblique muscle were not difference in both muscle activity(p>.05). Left Musculus obliquus externus abdominis before and after physical exercise, it's showed a meaningful difference(p<0.05). Before and after exercise, saw a meaningful difference the efforts of FEV1/FVC(p<0.05). The left external oblique abdominis muscle showed the most muscle activity in the supine position before/after exercising, the efforts expiratory showed the lowest muscle activity.The results from the repeated measures ANOVA regarding to before/after the volume and muscle activity, it showed significant difference between at the right rectus abdominis muscle(p<.05). This study finally gathered data about the muscle activity according to the position. This could be used to find in what position the abdominal breath exercise is the post effective & a new treatment for the patients who has worsened respiration function.

Decreased Nocturnal Blood Pressure Dipping in Patients with Periodic Limb Movements in Sleep (수면중 주기성 사지 운동에서 나타나는 야간 혈압 강하의 감소)

  • Lee, Mi Hyun;Choi, Jae-Won;Oh, Seong Min;Lee, Yu Jin
    • Sleep Medicine and Psychophysiology
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    • v.25 no.2
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    • pp.51-57
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    • 2018
  • Objectives: Previous studies have shown that periodic limb movements in sleep (PLMS) could be one of risk factors for cardiovascular morbidity. The purpose of this study was to investigate the association between PLMS and blood pressure changes during sleep. Methods: We analyzed data from 358 adults (176 men and 182 women) aged 18 years and older who were free from sleep apnea syndrome (Respiratory Disturbance Index < 5) and sleep disorders such as REM sleep behavior disorder or narcolepsy. Demographic characteristics, polysomnography records, and clinical variable data including blood pressure, body mass index, alcohol, smoking, and current medications were collected. In addition, self-report questionnaires including the Beck Depression Index, Epworth Sleepiness Scale and Pittsburgh Sleep Quality Index were completed. Blood pressure change from bedtime to awakening was compared between the two periodic limb movement index (PLMI) groups [low PLMI ($PLMI{\leq}15$) and high PLMI (PLMI > 15)]. Blood pressure change patterns were compared using repeated measures analysis of variance. Results: Systolic blood pressure in the high PLMI group was lower than that in the low PLMI group (p = 0.036). These results were also significant when adjusted for gender and age, but were not statistically significant when adjusted for BMI, alcohol, smoking, anti-hypertension medication use and sleep efficiency (p = 0.098). Systolic blood pressure dropped by 9.7 mm Hg in the low PLMI group, and systolic blood pressure in the high PLMI group dropped by 2.9 mm Hg. There was a significant difference in delta systolic blood pressure after sleep between the two groups in women when adjusted for age, BMI, alcohol, smoking, antihypertensive medication use and sleep efficiency (p = 0.023). Conclusion: PLMS was significantly associated with a decreasing pattern in nocturnal BP during sleep, and this association remained significant in women when adjusted for age, BMI, alcohol, smoking, antihypertension medication use and sleep efficiency related to blood pressure. We suggest that PLMS may be associated with cardiovascular morbidity.

Effect of cyclic loading on axial displacement of abutment into implant with internal tapered connection: a pilot study (내측연결형 임플란트에 체결한 지대주의 수직침하에 대하여 반복하중이 미치는 영향)

  • Seol, Hyon-Woo;Heo, Seong-Joo;Koak, Jai-Young;Kim, Seong-Kyun;Han, Chong-Hyun
    • The Journal of Korean Academy of Prosthodontics
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    • v.51 no.4
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    • pp.315-322
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    • 2013
  • Purpose: To evaluate the axial displacement of implant-abutment assembly after cyclic loading in internal tapered connection system. Materials and methods: External butt-joint connection implant and internal tapered connection implant were connected with three types of abutment for cement-retained prostheses, i.e. external type abutment (Ext group), internal tapered 1-piece abutment (Int-1 group), and internal tapered 2-piece abutment (Int-2 group). For each group, 7 implants and abutments were used. The implantabutments assemblies were clamped into the implant holder for vertical loads. A dynamic cyclic loading was applied for $150{\pm}10N$ at a frequency of 4 Hz. The amount of axial displacement of the abutment into the implant was calculated at each cycle of 0, 5, 10, 50, 100, 1,000, 5,000, and 10,000. A repeated measures analysis of variance (ANOVA) for the overall effect of cyclic loading and the pattern analysis by linear mixed model were used for statistical analysis. Differences at P<.05 were considered statistically significant. Results: The mean axial displacement after 10,000 cycles were $0.714{\pm}0.488{\mu}m$ in Ext group, $5.286{\pm}1.604{\mu}m$ in Int-1 group, and $11.429{\pm}1.902{\mu}m$ in Int-2 group. In the pattern analysis, Int-1 and Int-2 group showed continuous axial displacement at 10,000 cycles. There was no declining pattern of axial displacement in the Ext group. Conclusion: The pattern of linear mixed model in Ext group showed no axial displacement. There were continuous axial displacements in abutment-implant assemblies in the Int-1 and Int-2 group at 10,000 cycles. More axial displacement was found in Int-2 group than in Int-1 group.

A Study of a Pattern of the Stress Perceived by Stroke Patients through the Rehabilitative Process (뇌졸중 환자의 재활과정에 따른 스트레스 변화 양상)

  • Lee, Jung-Min
    • Journal of East-West Nursing Research
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    • v.1 no.1
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    • pp.82-98
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    • 1997
  • The purpose of this study was to determine pattern of the stress perceived by stroke patients over time. The ultimate goal of the research is to provide data to help nurses to design the plan of nursing care of the stroke patients both in the hospital and at home. A total of 57 admitted stroke patients were collected from one general hospital in Seoul from June, 12 to September, la, 1993. The data were collected for three phases(within one week after leaving the hospital). The tools for this study, three scales were used ; Stress scale developed by the investigator. Constitution classifing scale designed by Kho(1984), and Self-care measuring scale by Kang(1984). Data were analyzed in four steps using statistical analysis. First, demographic data were determined by descriptive statistics. Second. the pattern of stress perceived by stroke patients across three phases was measured using repeated measures ANOVA. Third, stress of stroke patients classified by constitution, paralyzed area. and attack frequency were measured using ANOVA or t-test, and the pattern of stress by group over time was determined using paired t-test in post hoc test. Fourth. Pearson correlation coefficients were calculated to determine the relationship between the stress and self-care activities. The results of this study are ; 1. The pattern of stress across three phases ; There was a decrease of the stress across three phases. In general. psychological stress as the highest among three phases(F=36.92. P=.000). There was a statistically significant difference of the physical stress(F=34.55, p=.000), the psychological stress (F=15.49, p=.0005) and the social stress (F=24.71. p=.000) among three phases. There was a statistically significant difference of the stress between the first phase (on admission) and the second phase(before leaving the hospital) and was a decrease of the stress (t =6.36. p=.000). 2. The pattern of stress of stroke patients classified by constitution across three phases ; Stroke patients classified as So-Eum perceived the highest stress among three groups(Tae-Eum, So-Eum. So-Yang). There was no statistically significant difference of stress according to the constitution of stroke patients among three phases. Hence. stress was not influenced by the constitution of stroke patients, but there was a statistically significant difference of stress over time. 3. The pattern of stress of stroke patients classified by the paralyzed area across three phases ; Right paralyzed stroke patients perceived higher stress than left paralyzed stroke patients. There was, however, no statistically significant difference of stress between two groups except 2nd phase. There was no statistically significant difference of the perception of stress bet ween the right and left paralyzed stroke patients. 4. The pattern of stress of stroke patients classified by the frequency of the relapse of the disease across three phases ; Stress was higher in stroke patients who had the relapse of the disease twice more than the first time. There was, however, no statistically significant difference of stress between two groups. There was no statistically significant difference of stress of stroke patients according to the relapse of the disease among three phases. Hence, stress was no influenced by the relapse of the disease. 5. The relationship between the stress and self-care activities ; There was a negative relationship between the stress and self-care activities each phase(on admission, r= -.1563 ; before leaving the hospital, r= -.4030 ; after leaving the hospital, r= -.5291). Hence, the higher the self-care activities, the lower the stress. This study has three important findings. First finding was that psychological stress perceived by stroke patients was the highest among three phases. The second finding was that factors such as the constitution, the paralyzed area, and the relapse of the disease did not have an influence on the stress perceived by stroke patients across three phases(on admission, before leaving the hospital, after leaving the hospital). There was a statistically significant decrease of the stress perceived by stroke patients across three phases. The third finding was that there was a negative relationship between the self-care ability and stress. In this study, these findings have implications for nursing care for the rehabilitation of stroke patients and suggest the need of nursing intervention to promote the self-care ability and to support the psychological self-esteem of stroke patients.

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EFFECT OF SOFT-START CURING ON THE CONTRACTION STRESS OF COMPOSITE RESIN RESTORATION POLYMERIZED WITH LED AND PLASMA CURING UNIT (LED와 플라즈마 광원의 완속기시 광중합 방식이 복합레진의 수축응력에 미치는 영향)

  • Chung, Yang-Seok;Lee, Nan-Young;Lee, Sang-Ho
    • Journal of the korean academy of Pediatric Dentistry
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    • v.34 no.4
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    • pp.623-631
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    • 2007
  • Effect of Soft-start curing on the contraction stress of composite resin restoration polymerized with LED and plasma curing unit The purpose of this study was to evaluate the influence of soft-start light curing on contraction stress and hardness of composite resin. Composite resin (Filtek $Z-250^{TM}$, 3M ESPE, USA) was cured using the one-step continuous curing method with three difference light sources ; conventional halogen light ($XL3000^{TM}$, 3M ESPE, USA) cure for 40 seconds at $400 mw/cm^2$, LED light (Elipar Freelight $2^{TM}$, 3M-ESPE, USA) cure for 20 seconds at $800\;mW/cm^2$ a and plasma arc light ($Flipo^{TM}$, LOKKI, France) cure for 12 seconds at $1300 mW/cm^2$. For the soft-start curing method ; LED light (Elipar Freelight $2^{TM}$, 3M-ESPE, USA) cure exponential increase with 5 seconds followed by 17 seconds at $800\;mW/cm^2$ and plasma arc light ($Flipo^{TM}$, LOKKI, France) cure 2 seconds light exposure at $650\;mW/cm^2$ followed by 11 seconds at $1300\;mW/cm^2$. The strain guage method was used for determination of polymerization contraction. Measurements were recorded at each 2 second for the total of 800 seconds including the periods of light application. Obtained data were analyzed statically using Repeated measures ANOVA, One way ANOVA, and Tukey test. The results of present study can be summarized as follows: 1. Composite resin restoration showed transient expansion just after irradiation of curing light. Contraction stress was increased rapidly at the early phase of polymerization and reduced slowly as time elapsed (P<0.05). 2. Contraction stress was not revealed significant difference between Halogen curing light groups and LED and Plasma Light curing with soft-start group (P>0.05). 3. LED and Plasma Light curing with soft-start showed lower contraction stress than the one-step continuous light curing (P<0.05).

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