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Evaluation of Visual-Motor Integration in Elderly Patient with Diabetes Mellitus (노인 당뇨환자의 시각-운동 통합능력 평가)

  • Yun, Hyo Soon;Kim, Mi Ae;Kim, Mi Han;Suh, Soon-Rim;Kim, Hong
    • 한국노년학
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    • v.31 no.3
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    • pp.641-652
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    • 2011
  • The purpose of this study was to investigate the ability of visual-motor integration (VMI) in elderly patient with diabetes mellitus(DM). Male elderly (from 65 to 70 years old) with DM and non-DM disease were participated in this study. Participants were divided into three group (n=30 in each group): the control group, non-DM group, and DM group. Data were collected through VMI-3R questionnaires and interviews. Statistical differences among groups were determined by one-way ANOVA followed by Duncan Post-hoc test and results were expressed the mean ± S.D. or percentage (%). The present results showed that the score of both VMI 24 and VMI 50 in DM group were statistically lower than both the control and Non-DM groups. Also, the lower rate of correct and higher rate of error in VMI-3R was observed in DM group compared to both the control and Non-DM groups. The item analysis of VMI-3R revealed that the most higher rate of error was observed in item 24 in all groups. Based on these results, this study suggests that DM might aggravate the function of visual-motor integration in male elderly.

A Study on the Effects of Pain, Sleep pattern, Life satisfaction on Depression in Elderly Women with Osteoarthritis (골관절염 여성노인의 통증, 수면양상, 생활만족도가 우울에 미치는 영향)

  • Lee, Yun Jeong
    • 한국노년학
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    • v.31 no.2
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    • pp.211-222
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    • 2011
  • The purpose of this study was to assess pain, life satisfaction, sleep pattern, and depression and the relations between these in elderly women with ostearthritis. Methods: The subjects were 124 elderly women with osteoarthritis at senior center in C city. Data were analyzed by descriptive statistics, Pearson's correlation coefficients, and multiple regression with SPSS/WIN 14.0. Results: The major findings of this study were as follows. 1) The mean score of variables were pain 2.58, life satisfaction 65.4, sleep pattern 37.6 and depression 13.58. 2) 43.5% of the subjects belonged to depression group. 3) There were significant relationships between depression and pain, life satisfaction, sleep pattern. 4) Significant factors influencing depression were life satisfaction, pain and sleep pattern. These factors explained 48% of depression in elderly women with ostearthritis. Among them, life satisfaction was the most significant factor. Conclusion: These finding give useful information for constructing an intervention and preventive program depression in the elderly women with osteoarthrtitis.

Effectiveness of an extraoral cold and vibrating device in reducing pain perception during deposition of local anesthesia in pediatric patients aged 3-12 years: a split-mouth crossover study

  • Ashveeta Shetty;Shilpa S Naik;Rucha Bhise Patil;Parnaja Sanjay Valke;Sonal Mali;Diksha Patil
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.23 no.6
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    • pp.317-325
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    • 2023
  • Background: Local anesthetic injections may induce pain in children, leading to fear and anxiety during subsequent visits. Among the various approaches recommended to reduce pain, one is the use of a Buzzy BeeTM device that operates on the concept of gate control theory and distraction. The literature regarding its effectiveness during the deposition of local anesthesia remains limited; hence, the aim of the present study was to determine the efficacy of extraoral cold and vibrating devices in reducing pain perception during the deposition of local anesthesia. Methods: A split-mouth crossover study in which 40 children aged 3-12 years requiring maxillary infiltration or inferior alveolar nerve block for extractions or pulp therapy in the maxillary or mandibular posterior teeth were included. The control intervention involved the application of topical anesthetic gel for one minute (5% lignocaine gel), followed by the administration of local anesthetic (2% lignocaine with 1:80,000 adrenaline) at a rate of 1 ml/ minute. Along with the control protocol, the test intervention involved using the Buzzy BeeTM device for 2 minutes before and during the deposition of the local anesthetic injection. The heart rate and face, legs, arms, cry, and consolability revised (FLACC-R) scale scores were recorded by the dentist to assess the child's pain perception. Results: The mean age of the participants in Group A and Group B was 7.050 ± 3.12 years and 7.9 ± 2.65 years respectively. A reduction in the mean heart rate and FLACC-R score was observed during the deposition of local anesthetic solution in the tissues when the Buzzy BeeTM was used in both groups at different visits in the same subjects (P < 0.05) The Buzzy BeeTM device was effective in reducing the heart rate and FLACC-R scores when used during maxillary infiltration and inferior alveolar nerve block local anesthesia techniques (P < 0.05). Conclusion: The use of extraoral cold and vibrating devices significantly reduces pain perception during local anesthetic deposition in pediatric patients. Considering the results of this study, the device may be incorporated as an adjunct in routine dental practice while administering local anesthesia in children.

Phase Segmentation of PVA Fiber-Reinforced Cementitious Composites Using U-net Deep Learning Approach (U-net 딥러닝 기법을 활용한 PVA 섬유 보강 시멘트 복합체의 섬유 분리)

  • Jeewoo Suh;Tong-Seok Han
    • Journal of the Computational Structural Engineering Institute of Korea
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    • v.36 no.5
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    • pp.323-330
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    • 2023
  • The development of an analysis model that reflects the microstructure characteristics of polyvinyl alcohol (PVA) fiber-reinforced cementitious composites, which have a highly complex microstructure, enables synergy between efficient material design and real experiments. PVA fiber orientations are an important factor that influences the mechanical behavior of PVA fiber-reinforced cementitious composites. Owing to the difficulty in distinguishing the gray level value obtained from micro-CT images of PVA fibers from adjacent phases, fiber segmentation is time-consuming work. In this study, a micro-CT test with a voxel size of 0.65 ㎛3 was performed to investigate the three-dimensional distribution of fibers. To segment the fibers and generate training data, histogram, morphology, and gradient-based phase-segmentation methods were used. A U-net model was proposed to segment fibers from micro-CT images of PVA fiber-reinforced cementitious composites. Data augmentation was applied to increase the accuracy of the training, using a total of 1024 images as training data. The performance of the model was evaluated using accuracy, precision, recall, and F1 score. The trained model achieved a high fiber segmentation performance and efficiency, and the approach can be applied to other specimens as well.

Instructional Effects of Elementary Science Classes Using Metaverse and Perceptions of Students: 'Structure and Function of Plants' Unit in Sixth Grade (메타버스를 활용한 초등 과학 수업의 효과 및 학생들의 인식 - 6학년 '식물의 구조와 기능' 단원을 중심으로 -)

  • Wang, Taejoe;Lim, Heejun
    • Journal of Korean Elementary Science Education
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    • v.42 no.4
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    • pp.591-604
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    • 2023
  • This study investigated the impact of elementary science classes using metaverse on the academic achievement, positive experience in science, and digital literacy of elementary school students. In addition, we examined their perceptions. The respondents were derived from two classes in the sixth grade at an elementary school in Gyeonggi-do, who were selected designated as the experimental (n=29 students) and comparative (n=29) groups, respectively. Across five lessons under the "Plant Structure and Function" unit, the experimental group conducted science classes using the metaverse, whereas the comparative group conducted general textbook-based classes. To investigate instructional effects, the study performed ANCOVA using the pre-test score as a covariate, a survey on the perception of students about science classes using metaverse, and conducted interviews with a number of subjects. The result demonstrated that science classes using metaverse exerted no significant effect on scientific academic achievement and digital literacy. However, the study observed a statistically significant effect on science learning emotion which is a sub-element of positive experiences in science. The students were positively aware of science classes using metaverse in terms of interesting and diverse activities, and free expression of inquiry results and perceived the instability of smart devices and network connections as regrettable. Finally, the study posed the implications of the use of metaverse in science classes.

Effects of Health Care Nursing Policy Education on Nursing Students' Political Efficacy, Political Participation, and Political Interest (보건의료 간호정책 교육이 간호대학생의 정치효능감, 정치참여 및 정치 관심도에 미치는 효과)

  • MinJi Kim;Kyeng-Jin Kim
    • Journal of Industrial Convergence
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    • v.21 no.11
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    • pp.125-134
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    • 2023
  • This study attemped to examine the effects of health care nursing policy education on nursing students' political efficacy, political participation, and political interest. It attempted to guide the direction of policy education within nursing curriculum. The subjects consisted of 89 nursing students of G-university from March 8, 2023, to June 21, 2023, including 44 in the experimental group and 45 in the control group. The health care nursing policy class was developed using the ADDIE(Analysis, Design, Development, Implementation, Evaluation) model of instructional design. Data analysis used the SPSS 25.0 program through mean, standard deviation, and independent sample t-test. The experimental group that participated in this education showed statistically significant improvement in political efficacy(t=2.34, p<.05) and intrinsic political efficacy(t=2.75, p<.05), as well as passive political participation score(t=2.22, p<.05) compared to before the intervention. Based on the findings of this study, it is suggested that health care nursing policy education should be structured to enhance external political efficacy and promote active political participation in future nursing curriculum.

Imaging Assessment of Visceral Pleural Surface Invasion by Lung Cancer: Comparison of CT and Contrast-Enhanced Radial T1-Weighted Gradient Echo 3-Tesla MRI

  • Yu Zhang;Woocheol Kwon;Ho Yun Lee;Sung Min Ko;Sang-Ha Kim;Won-Yeon Lee;Suk Joong Yong;Soon-Hee Jung;Chun Sung Byun;JunHyeok Lee;Honglei Yang;Junhee Han;Jeanne B. Ackman
    • Korean Journal of Radiology
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    • v.22 no.5
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    • pp.829-839
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    • 2021
  • Objective: To compare the diagnostic performance of contrast-enhanced radial T1-weighted gradient-echo 3-tesla (3T) magnetic resonance imaging (MRI) and computed tomography (CT) for the detection of visceral pleural surface invasion (VPSI). Visceral pleural invasion by non-small-cell lung cancer (NSCLC) can be classified into two types: PL1 (without VPSI), invasion of the elastic layer of the visceral pleura without reaching the visceral pleural surface, and PL2 (with VPSI), full invasion of the visceral pleura. Materials and Methods: Thirty-three patients with pathologically confirmed VPSI by NSCLC were retrospectively reviewed. Multidetector CT and contrast-enhanced 3T MRI with a free-breathing radial three-dimensional fat-suppressed volumetric interpolated breath-hold examination (VIBE) pulse sequence were compared in terms of the length of contact, angle of mass margin, and arch distance-to-maximum tumor diameter ratio. Supplemental evaluation of the tumor-pleura interface (smooth versus irregular) could only be performed with MRI (not discernible on CT). Results: At the tumor-pleura interface, radial VIBE MRI revealed a smooth margin in 20 of 21 patients without VPSI and an irregular margin in 10 of 12 patients with VPSI, yielding an accuracy, sensitivity, specificity, positive predictive value, negative predictive value, and F-score for VPSI detection of 91%, 83%, 95%, 91%, 91%, and 87%, respectively. The McNemar test and receiver operating characteristics curve analysis revealed no significant differences between the diagnostic accuracies of CT and MRI for evaluating the contact length, angle of mass margin, or arch distance-to-maximum tumor diameter ratio as predictors of VPSI. Conclusion: The diagnostic performance of contrast-enhanced radial T1-weighted gradient-echo 3T MRI and CT were equal in terms of the contact length, angle of mass margin, and arch distance-to-maximum tumor diameter ratio. The advantage of MRI is its clear depiction of the tumor-pleura interface margin, facilitating VPSI detection.

Development of Leadership Program for the Gifted and Talented, and It's Application (과학영재아를 위한 리더십 프로그램의 개발과 적용)

  • Chung, Duk-Ho;Park, Sae-Hoon;Yee, Young-Hwan;Lee, Jeong-Won;Lee, Kuk-Haeng
    • Journal of The Korean Association For Science Education
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    • v.29 no.6
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    • pp.639-652
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    • 2009
  • This projects was carried out under the assumption that an appealing leadership program would lead to students' increased leadership abilities. This leadership program is comprised of 16 materials based on seven factors of leadership for the gifted and talented. More than 46% of the gifted and talented have a positive response to leadership program, and some of these gifted and talented students (14.7%) reacted negatively. According to the result of the T-Test, a survey about leadership of gifted and talented, there are meaningful differences between before and after implementing this leadership program (p<.01). Especially, the leadership quality of the gifted and talented improved effectively in communication skills(p<.01), individualized considerations(p<.01), and interpersonal skills(p<.05). But there aren't statistical differences between the primary school students and the middle school students except leadership total score(p<.05) and communication skills(p<.01). Comprehensively, the primary school students scored slightly higher than did middle school students on the seven factors of leadership. So, we need an effective guide in planning a leadership program for middle school students.

Comprehensive Review of Quality Certification Follow-up Management Audit Outcomes Following the Dual Role as Quality Manager for Recycled Aggregate (순환골재 품질담당자 겸직 허용 이후 품질인증 사후관리 심사결과 고찰)

  • Jeon, Soo-Min
    • Journal of the Korea Institute of Building Construction
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    • v.24 no.2
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    • pp.239-248
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    • 2024
  • The adjustment in guidelines for quality certification of recycled aggregate permitted the Quality Control Manager of a company specializing in recycled aggregate quality certification to concurrently assume the role of Environmental Management Manager. Analysis of the outcomes from the 2023 recycled aggregate quality certification follow-up management audit conducted by the certification agency revealed that in 95 out of 242 cases, constituting approximately 39% of the total cases, individuals held concurrent positions. Following the regulatory revision, there has been a notable proliferation of concurrent roles across various enterprises. Concerns arose regarding the potential neglect of quality control for certified recycled aggregates in comparison to scenarios where individuals are solely responsible for specific duties related to quality and environmental management. Audit results encompassing six aspects, including waste management, were evaluated on a scale of 6 points. A comparative analysis was conducted between the outcomes of 147 cases managed by dedicated personnel, as previously practiced, and 95 cases managed by individuals with concurrent roles. Although the average score of the latter group was marginally lower, no statistically significant disparity was observed between the two groups. Consequently, apprehensions regarding the oversight of quality control stemming from the allowance of concurrent roles appear unfounded. Within the context of recent regulatory revisions, permitting concurrent roles in managerial capacities is deemed an appropriate relaxation of regulations.

Multidetector Computed Tomography in Patients with Femoral Neck Fracture for Assessing Osteoporosis: Comparison with Dual Energy X-Ray Absorptiometry (대퇴골 경부 골절 환자에서 골다공증 평가를 위한 다중검출 CT의 이용: 이중에너지 X-선 흡수계측법과의 비교)

  • Hyo Jeong Lee;Ji Young Hwang
    • Journal of the Korean Society of Radiology
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    • v.82 no.1
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    • pp.173-181
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    • 2021
  • Purpose To evaluate the ability of the Hounsfield unit (HU) measurement of the femoral neck during multidetector computed tomography (MDCT) for assessing osteoporosis compared with dual-energy X-ray absorptiometry (DXA). Materials and Methods Forty-two patients with femoral neck fractures who underwent MDCT and DXA from July to December 2016 were included in this study. HU measurements were made of the cancellous portions of the normal contralateral femoral neck on MDCT. Bone mineral density (BMD) and T-scores were obtained at the femur DXA. Correlations of HU values with BMD and T-scores were analyzed using Spearman's correlation test. Results The mean BMD and T-score of the femoral neck were 0.650 g/cm2 and -2.4, respectively. The mean HU values for the normal, osteopenia, and osteoporosis groups were 131.9, 98.9, and 41.3, respectively. HU values at the femoral neck were positively correlated with BMD (r2 = 0.670; p < 0.001) and T-scores (r2 = 0.676; p < 0.001). Conclusion The HU values of the femoral neck on MDCT are significantly correlated with BMD and T-scores of femur DXA. The HU values may serve as a diagnostic tool for the screening of regional bone quality when MDCT is performed for other reasons.