• Title/Summary/Keyword: 반복측정 분산분석

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Effectiveness of Early Cognitive Training and Tailored Telephone Coaching Program for Ischemic Stroke (허혈성 뇌졸중 환자를 위한 조기 인지훈련과 맞춤형 전화코칭 프로그램의 효과)

  • Oh, Eun-Young
    • Journal of Digital Convergence
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    • v.18 no.3
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    • pp.195-205
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    • 2020
  • The purpose of this study was to investigate the effects of early cognitive training and tailored telephone coaching program for ischemic stroke. Among 28 participants, assigned into the experimental(n=15) and control group(n=13). Only the experimental group was received a 4-week cognitive training and 11 session of tailored telephone coaching. The effect ot the program was evaluated four times(baseline, 4weeks, 8weeks, 12months) using the tool on Depression, Mini Mental State Examination(MMSE), Neuropsychological battery, Activities of Daily Living(ADL). The repeated measures ANOVA showed that the experimental group showed improvement in MMSE, verbal memory and executive function compared to the control group. Especially, the improvement of executive function which is related to ADL was a remarkable result. This suggests that early intervention is very important for recovery cognitive function and independent daliy life after stroke, and periodic telephone coaching should be done together for mid-to long term effects.

Effects of Blended Learning on Abilities to Use Smart-Phone and Applications among Students with Intellectual Disabilities (블랜디드 러닝이 지적장애 학생의 스마트 폰과 애플리케이션 사용 능력에 미치는 효과)

  • Lee, Tae-Su
    • Journal of the Korea Convergence Society
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    • v.13 no.2
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    • pp.215-222
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    • 2022
  • The purpose of this study was to analyze effects of blended learning on abilities to use smart-phone and applications among students with intellectual disabilities. To do this, 30 students with intellectual disabilities who were enrolled in special school and special classroom in Jellanam-do and Gwanju metropolitan city were selected for this study, and were placed experimental and control groups of 15 students. The experimental group was provided with blended learning in which direct instruction, anchored instruction, experience activities, and community-based instruction were combined, and the control group was provided with traditional teacher-centered lecture style intervention. Pre-, post-, and maintenance evaluations were conducted two weeks after intervention. The collected data was analyzed the repeated two-way ANOVA. In the result of study, the experimental group improved on abilities to use smart-phone and applications than control group. Blended learning is a teaching method that can be a usefully used when educating how to use smart-phone and applications to students with intellectual disabilities.

Comparison study of modeling covariance matrix for multivariate longitudinal data (다변량 경시적 자료 분석을 위한 공분산 행렬의 모형화 비교 연구)

  • Kwak, Na Young;Lee, Keunbaik
    • The Korean Journal of Applied Statistics
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    • v.33 no.3
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    • pp.281-296
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    • 2020
  • Repeated outcomes from the same subjects are referred to as longitudinal data. Analysis of the data requires different methods unlike cross-sectional data analysis. It is important to model the covariance matrix because the correlation between the repeated outcomes must be considered when estimating the effects of covariates on the mean response. However, the modeling of the covariance matrix is tricky because there are many parameters to be estimated, and the estimated covariance matrix should be positive definite. In this paper, we consider analysis of multivariate longitudinal data via two modeling methodologies for the covariance matrix for multivariate longitudinal data. Both methods describe serial correlations of multivariate longitudinal outcomes using a modified Cholesky decomposition. However, the two methods consider different decompositions to explain the correlation between simultaneous responses. The first method uses enhanced linear covariance models so that the covariance matrix satisfies a positive definiteness condition; in addition, and principal component analysis and maximization-minimization algorithm (MM algorithm) were used to estimate model parameters. The second method considers variance-correlation decomposition and hypersphere decomposition to model covariance matrix. Simulations are used to compare the performance of the two methodologies.

A Study on the Fatigue Analysis by the Boarding Period on Training Ship (실습선 승선기간에 의한 승선 집단별 피로도 분석에 관한 연구)

  • Kim, Seungyeon;Park, Youjin;Lee, Yunsok
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.22 no.2
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    • pp.160-166
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    • 2016
  • Crew fatigue has been recognized as a major cause of maritime accidents. Systematic study on crew fatigue has a direct impact on the human factor, but the various measures being taken to prevent human error account for most of the causes of marine accidents situation are still insufficient. In this study, 128 people who have a variety of career and job types boarded the T/S Hanbada were analyzed the changes of fatigue during the 87-days a Maritime Silk Road Sailing Expedition. Crew fatigue was measured by period of time onboard classified as mental, physiological and physical changes through survey responses and individual interviews of nurses. Also, it was identified the fatigue factor through quantitative statistical analysis. As a result of repeated measures analysis of variance for the changes of fatigue in position and gender criteria in accordance with boarded period, the position-specific analysis was that Professor Rating group has appeared to feel more mental and physical fatigue than the student population. Also, the results of fatigability about the sex-specific analysis have been found that women feel more physical fatigue than men.

Translation and Adaptation of the Children's Home Inventory for Listening Difficulties (CHILD) into Korean (가정환경 아동듣기평가(CHILD) 부모용 설문지의 한국어 번역 및 적용 연구)

  • Choi, Jae Hee;Seo, Young Ran;Jang, Hyun Sook
    • 재활복지
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    • v.20 no.4
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    • pp.247-264
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    • 2016
  • The Children's Home Inventory for Listening Difficulties (CHILD) questionnaire has been applied for assessing listening and communication difficulties in various home situations for children with hearing loss. The purpose of the study was to translate the CHILD questionnaire for parents into Korean and verify reliability and validity of Korean version of CHILD (CHILD-K). CHILD-K was completed by 55 parents of children (from ages 3~12 years) using cochlear implants (CI). Among the 55 children, 27 were in preschool and 28 in elementary. Internal consistency reliability of CHILD-K was verified by Chronbach's alpha. The mixed factorial ANOVA was conducted to compare the effects of the age group and situation factors (Quiet, Noise, Distance, Social, and Media factors) on the score of CHILD. The results indicated that CHILD-K showed excellent internal consistency reliability (${\alpha}=.96$). The CHILD scores among age groups were significantly different as the older age group resulted in higher scores in all situations except Distance. For both groups the mean scores for the Quiet situation were significantly higher than other situations, and the mean scores for the Social situation were significantly lower than other situations. Moreover, analysis showed that children with CI had difficulties in the Social situation combined with other situation factors. The results indicate that the Korean version of CHILD questionnaire is a reliable tool for the assessment of communication abilities in home situation in Korean-speaking children using CI.

Development and Effects of Health Promotion Education Program for the Auxiliary Police - Based on the PRECEDE-PROCEED Model - (PRECEDE-PROCEED 모형을 적용한 의무경찰의 건강증진교육프로그램의 개발 및 효과)

  • Kim, Young-jin
    • Journal of the Korean Applied Science and Technology
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    • v.39 no.1
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    • pp.115-131
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    • 2022
  • The purpose of this study was to develop and examine the effect of the Health Promotion Education Program for the Auxiliary Police based on the PRECEDE-PROCEED Model. This study was conducted using a nonequivalent control group pretest-posttest design. Twenty-five participants were selected by convenience sampling method and assigned to the experimental group, and 26 participants were assigned to the control group. The data were collected from Auxiliary Police officer in D provincial Police Agency. All of participations completed questionnaires about self-efficacy, social support, availability of resources, health promotion behavior, quality of life and received the objective stress test. In addition, the experimental group completed 7 sessions of health promotion Education programs according to PRECEDE-PROCEED model for 5 weeks. Data were analyzed using the SPSS/WIN 21.0 Program. There was significant differences over time between the groups in terms of health promotion behavior (F=7.63, p<.001), autonomic nervous activity (F=29.24, p<.001), stress resistance (F=31.22, p<.001), stress index (F=22.42, p<.001), fatigue (F=12.87, p<.001), and quality of life (F=3.49, p=.042). The results may be crucial to develop strategy in order to decrease the disease prevalence as well as increase the participants' overall quality of life. As a result, the Health Promotion Education Program for the auxiliary police was proved to be an effective intervention in order to improve the quality of life. Therefore, the program may be a useful intervention for the auxiliary police.

The effects on fatigue and accuracy of cardiopulmonary resuscitation of the verbal-order method based on different time intervals (3, 4 minutes) (시간 (3분, 4분)에 따른 구령방법이 심폐소생술의 피로도와 정확도에 미치는 영향)

  • Lee, Mi Kyoung;Yang, Jeong Ok;Jung, Joo Ha;Lee, Kyeong Jun;Cho, Youngseuk
    • Journal of the Korean Data and Information Science Society
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    • v.27 no.2
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    • pp.409-417
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    • 2016
  • The purpose of this study was to demonstrate the effect on the degree of fatigue and accuracy of cardiopulmonary resuscitation according to the different time delays (3 minutes, 4 minutes). Carrying out repeated measures of variance (repeated ANOVA), we have shown that time effect (F = 7.835, p <.01) and group effect (F = 8.695, p<.01) and the interaction effect between time and group (F = 12.582, p<.001) were all statistically significant. It means, in the test of the main effect of group and time (3 minutes, 4 minutes) using the Bonferroni method, it turned out that the amount of lactic acid of the experimental group was larger than that of the control group (p<.01), and there was no difference until 3 minutes, but the difference of the amount of lactic acid was shown between before the experiment and after 4 minutes, and between 3 minutes and 4 minutes (p <.05), respectively. Then, in the result of the corresponding sample t-test, for comparing the according to the measurement time, the accuracy after 3 minutes became higher than the case of 4 minutes (t = 4.584, p <.001). Therefore, before 119 arrives performing cardiopulmonary resuscitation for emergency, rescuers need to perform cardiopulmonary resuscitation alternating with others before 3 minutes.

Effect of Horseback Riding on Bone Density of the Senior Citizen (승마가 노인의 골밀도에 미치는 영향)

  • Kim, Seon-Chil;Lee, Jong-Ha;Kim, Shin-Gyun;Cho, Sung-Hyoun
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.12 no.1
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    • pp.1-9
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    • 2018
  • This study is intended to identify how horseback riding affect the bone density of the elderly. A total of 31 normal senior citizens participated in the research, who were randomly divided into two groups: 15 in horseback riding exercise group and 16 in horseback riding machine exercise group. A horseback riding exercise program was carried out for 25 minutes twice a week for 12 weeks. A pre-test was conducted before starting the program and two post-tests were conducted 6 weeks and 12 weeks after exercises in the same way as the pre-test. Measured items were bone density of lumbar vertebrae and femur. In order to identify the changes in measurement variables before exercises and 6 weeks and 12 weeks after exercises, two-way repeated analysis of variance were used. The comparison of changes in the bone density in both groups revealed that there were significant differences in lumbar vertebrae L3, L4, femur trochanter in both groups over time. This study suggests that three-dimensional movements of horses through horseback riding exercises induce normal movements of senior citizens, providing positive effects on their bone density. If appropriate horse riding exercise programs are used considering the health status, time and economic conditions, and preferences of senior citizens, it would improve their quality of life.

The effects of deep neck flexor exercise on pain and neck disability index of the patients with chronic neck pain (심부목굽힘근 운동이 만성 목통증 환자의 통증과 기능에 미치는 영향)

  • Lee, Gyu-Chang;Lee, Dong-Yeop
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.11 no.11
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    • pp.4331-4337
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    • 2010
  • This study was to investigate the effectiveness of deep neck flexor exercise with using modalities in pain reduction and functional improvement to those who have chronic neck pain. The subjects were instructed the patients with chronic neck pain (37 people). Randomized study design of two groups was used: Only using modalities group and deep neck flexor exercise group with using modalities, and each group was taken by three times per week for 12 weeks. To evaluate the effects of therapies was to research the questionnaire about VAS(visual analog scale), NDI(neck disability index), and endurance of deep neck flexor before experiment, after 6 weeks and after 12 weeks. In visual analog scale(VAS) and neck disability index(NDI), there were significant decreased in using modalities group and deep neck flexor exercise group after 6 weeks more than before experiments but were only significant decrease in deep neck flexor exercise group after 12 weeks. The endurance of deep neck flexor was significantly increased in deep neck flexor exercise group after 6 weeks and 12 weeks more than before experiments. Thorough these results deep neck flexor exercise has the effectiveness to the therapies of chronic neck pain. Using the deep neck flexor exercise would be high effects on pain reduction and functional improvement and also considered in improving the living qualities of those who have chronic neck pain.

Neutrophil-Lymphocyte Ratio as Inflammatory Marker for Delirium: An Exploratory Study (섬망 관련 염증표지자로서 호중구-림프구비의 임상적 활용 가능성에 대한 탐색적 연구)

  • Park, Jaesub;Yang, Soyoung;Park, Sunyoung;Song, Jung-Eun
    • Korean Journal of Psychosomatic Medicine
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    • v.29 no.2
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    • pp.169-175
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    • 2021
  • Objectives : Delirium is a temporary brain dysfunction and systemic inflammation is important factor in its pathophysiology. Whether the neutrophil-lymphocyte ratio (NLR), one of the inflammatory markers, can be used as an inflammatory marker in delirium patients was investigated in comparison with C-reactive protein (CRP). Methods : We retrospectively reviewed the medical records of patients who were referred for consultation for delirium at hospital for one year. The NLR and CRP values at admission and delirium status were divided into the medical and the surgical treatment group, and the interaction between them was analyzed through repeated measures ANOVA. Results : NLR was maintained without significant difference before and after delirium in the medical treatment group and the surgical treatment group, but CRP decreased in the medical treatment group and increased in the surgical treatment group during delirium, showing a significant interaction. Conclusions : In delirium patients, the NLR remained constant, but the CRP differed according to the treatment group and the delirium state. This suggests the possibility that NLR could be used complementary to CRP as an inflammatory marker in delirium patients.