• Title/Summary/Keyword: Digital interventions

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Trends in socio-economic inequalities on diabetes prevalence and management status in Korea, 2007-2017 (당뇨병 유병률 및 관리 실태의 사회경제적 불평등 추세: 2007-2017 국민건강영양조사 분석)

  • Shin, Ji-Yeon
    • Journal of Digital Convergence
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    • v.17 no.8
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    • pp.337-346
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    • 2019
  • This study aimed to assess trends in the prevalence, treatment, and control of diabetes according to the socio-economic level in Korean adults aged ${\geq}30$ years, using the 2007-2017 Korea National Health and Nutrition Examination Survey data. Socio-economic status was assessed based on the household income. Multivariable logistic regression and predictive margins were used to evaluate the adjusted proportion of diabetes prevalence, awareness, treatment, and adequate glycemic control. During 2007-2017, the socio-economic inequalities on diabetes prevalence were observed in both men and women. However, the gradient of inequality increased only in men (p for interaction=0.034). Diabetes awareness, treatment, and control did not show socio-economic inequalities or increasing gradients in both sexes. Monitoring of these trends should be continued, and further research on effective interventions is needed.

Analysis of research trends on mobile health intervention for Korean patients with chronic disease using text mining (텍스트마이닝을 이용한 국내 만성질환자 대상 모바일 헬스 중재연구 동향 분석)

  • Son, Youn-Jung;Lee, Soo-Kyoung
    • Journal of Digital Convergence
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    • v.17 no.4
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    • pp.211-217
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    • 2019
  • As the widespread use of mobile health intervention among Korean patients with chronic disease, it is needed to identify research trends in mobile health intervention on chronic care using text mining technique. This secondary data analysis was conducted to investigate characteristics and main research topics in intervention studies from 2005 to 2018 with a total of 20 peer reviewed articles. Microsoft Excel and Text Analyzer were used for data analysis. Mobile health interventions were mainly applied to hypertension, diabetes, stroke, and coronary artery disease. The most common type of intervention was to develop mobile application. Lately, 'feasibility', 'mobile health', and 'outcome measure' were frequently presented. Future larger studies are needed to identify the relationships among key terms and the effectiveness of mobile health intervention using social network analysis.

The Mediating Effects of Subjective Happiness on the Effects of Andropause symptoms on Suicidal Ideation in Married Middle-aged Males (기혼 중년 남성의 갱년기 증상이 자살 사고에 미치는 영향에서 주관적 행복감의 매개효과)

  • Kim, Bo Ra;Sung, Kyung Mi
    • Journal of Digital Convergence
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    • v.19 no.4
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    • pp.423-433
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    • 2021
  • This study was to investigate the mediating effect of subjective happiness on the effect of andropause symptoms on suicidal Ideation in married middle-aged men. Final Participants were 199 married middle-aged men with andropause symptoms. Andropause symptoms, suicidal ideation, and subjective happiness of middle-aged men showed significant correlations. The mediating effect of subjective happiness on the relationship between andropause symptoms and suicidal ideation was verified. The findings revealed that an improving subjective happiness of men with andropause symptoms can be helpful for the prevention of suicidal ideation. Therefore, the researchers suggest that future researchers develop nursing interventions for the prevention of suicide ideation of men with andropause symptoms based on the results of the study, and evaluate its' effects.

The Stress, Self-Efficacy, And Self-Control of University Students Impact on Smartphone Addiction (대학생의 스트레스, 자기효능감, 자기통제력이 스마트폰 중독에 미치는 영향)

  • Ju, Hyeon-Jeong;Jun, Ho-Sun;Park, Mi-Kyung
    • Journal of Digital Convergence
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    • v.17 no.11
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    • pp.395-407
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    • 2019
  • This study attempted to verify the structural model of the effects of stress, self-efficacy, and self-control on smartphone addiction in University students. The subjects of this study were 440 University students in G and P city. Results, First the most influential variables on smartphone addiction were self-control, followed by stress, and two variables explained explanation about smartphone addiction in 34%. Second, self-efficacy had a positive effect on self-control and stress had a negative effect. Both variables had an indirect effect on smartphone addiction through self-control. In groups less than 4 hours and above, there was a partial regulation effect because of differences between groups in the smartphone addiction pathway coefficients of stress and self-efficacy. Therefore, in order to reduce smartphone addiction, it is important to find ways to reduce stress and increase self-control and self-efficacy, and necessary to develop various programs and tailor educational interventions for each individual situation.

Effects of Somatic Symptoms, Aging Anxiety and Social Support on Depression in Middle-aged Women (중년여성의 신체화 증상, 노화불안, 사회적 지지가 우울에 미치는 영향)

  • Lee, Nan-Young
    • Journal of Digital Convergence
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    • v.20 no.5
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    • pp.847-855
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    • 2022
  • The purpose of this study is descriptive research to understand the effects of somatic symptoms, aging anxiety, and social support of middle-aged women on depression. Data collection was conducted from March 2020 to May 2020 using a structured questionnaire from a sample of 110 middle-aged women. The collected data were analyzed using descriptive statistics, t-test, ANOVA, Kruskal-Wallis test, Pearson's correlation coefficients and multiple linear regression analysis using SPSS Window 25.0 program. As a result of the study, the influence factors on the depression were confirmed by the somatic symptoms(β=0.42, p<.001), aging anxiety(β=0.35, p<.001) and total explanatory power of the variables was found to be 48.0%. Therefore, based on the result of this study, it suggests that more research is needed a program that considers somatic symptoms and aging anxiety when developing interventions to reduce depression and to verify the effectiveness.

Correlation Analysis between Cervical-Vertebra Angle and Neck Range of Motion, Muscle Strength, and Sternocleidomastoid Thickness (전방머리자세 대상자의 머리-척추각과 목 운동범위, 근력, 목빗근 두께와의 상관관계 분석)

  • Min Ji Kang;Geun Tae Park;Jin Tae Han
    • Journal of Korean Physical Therapy Science
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    • v.31 no.1
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    • pp.88-97
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    • 2024
  • Background: This study was to investigate effects of Correlation Analysis between Cervical-Vertebra Angle and Neck Range of Motion, Muscle Strength, Sternocleidomastoid Thickness of Patients with Forward Head Posture Design: Correlation Analysis. Methods: The subjects of this study were a total of 54 people in the forward head position and their ages were between 30 and 50 years old. The subjects cranio-vertebral angles, neck extension, neck flexion, neck rotation angles, neck flexor strength, neck extensor strength, sternocleidomastoid thickness were evaluated through measuring instruments. The thickness of the sternocleidomastoid muscle was measured using an imaging ultrasound diagnostic device (ultra sound, Versana Premier, GE Medical systems, China). CVA was measured by measuring the side photo of the subject was taken with a camera and evaluated.. neck joint range of motion was measured through digital inclinometer for extension, flexion, and neck rotation. neck muscle strength was measured by measuring the using a digital sthenometer. Data analysis in this study was statistically processed using SPSS version 26.0 (IBM SPSS Inc., USA). Correlation analysis was used and the statistical significance level was set at 0.05. Results: The results neck extension(r= 0.70**), neck flexion(r= 0.67**), neck rotation(r= 0.56**), neck extensor muscle strengt(r= 0.85**), neck flexor muscle strength(r= 0.66**), sternocleidomastoid thicknes(r= -0.81**) It indicates that there is a correlation. Conclusion:These results improve the Cervical-vertebra angle of patients with forward head posture should include a program to improve the thickness of the SCM. In the future, study can be used as an evidentiary material for treatment interventions to improve the Cervical-vertebra angle of patients with forward head posture.

Effects of Music Therapy on Agitation in Dementia: Systematic Review and Meta-analysis (음악요법이 치매의 초조행동에 미치는 효과: 체계적 문헌고찰 및 메타분석)

  • Kong, Eun-Hi;Park, Myonghwa
    • Korean Journal of Adult Nursing
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    • v.27 no.1
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    • pp.106-116
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    • 2015
  • Purpose: The purpose of this review was to assess the quality and to evaluate the effectiveness of music interventions in reducing agitation in older adults with dementia. Methods: Randomized controlled studies and randomized crossover studies were identified by searching MEDLINE, EMBASE, CINAHL, PsycINFO, AGELINE, Cochrane Central Register of Controlled Trials, Korea Med, Kmbase, RISS, National Assembly Digital Library, KISS, and RICH. Two reviewers independently retrieved articles, extracted data, and assessed the quality of studies. Results: In total, 10 studies were selected from 1095 unique citations. All included studies were conducted in long term care settings. Overall, risk of bias for included studies was low to moderate. The weighted average effect size across studies was -0.39 (95%CI [-0.69, -0.10], p=.009, $I^2=63%$). Music therapy was effective to reduce agitation of the older adults with dementia. Conclusion: Music intervention can be an effective non-pharmacological intervention for the reduction of agitation in dementia. Future studies need to use rigorous research method and to provide description of research methods in greater detail. In addition, future studies are required to explore the effects of music therapy according to severity of agitation and dementia.

The Effects of passive stretching exercise of the scalene muscles on forced vital capacity (사각근에 대한 수동신장운동이 노력성폐활량에 미치는 영향)

  • Byun, Sung-Hak;Han, Dong-Wook
    • Journal of the Korean Society of Physical Medicine
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    • v.11 no.1
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    • pp.35-43
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    • 2016
  • PURPOSE: The purpose of this study was to investigate the effects of passive stretching exercises of the scalene muscles known as respiratory accessory muscles, on forced vital capacity. METHODS: Ten of the participants were randomly selected as an experiment group to perform passive stretching exercises on the scalene muscles. Ten additional students were selected randomly as a control group. The forced vital capacity was assessed by using a digital spirometer (Pony FX, COSMED Inc, Italy) both before and after the passive stretching exercises were performed. Subsequently, passive stretching exercises of the scalene muscles were performed in the experimental group. There were no interventions to the control group. RESULTS: As for the forced vital capacity (FVC), the experiment group showed significant increase in items of forced vital capacity (FVC), forced expiratory volume in 1 second ($FEV_1$), peak expiratory flow (PEF), forced expiratory volume in 1 second/vital capacity ($FEV_1/VC$), and maximal expiratory flow 75%(MEF 75%) after the scalenemuscles passive stretching exercises were performed. The control group, however, showed no change. CONCLUSION: This study demonstrated that passive stretching exercises of the scalene muscles could be helpful for forced vital capacity improvement.

The Optimal Pyloric Procedure: A Collective Review

  • Kim, Dohun
    • Journal of Chest Surgery
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    • v.53 no.4
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    • pp.233-241
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    • 2020
  • Vagal damage and subsequent pyloric denervation inevitably occur during esophagectomy, potentially leading to delayed gastric emptying (DGE). The choice of an optimal pyloric procedure to overcome DGE is important, as such procedures can lead to prolonged surgery, shortening of the conduit, disruption of the blood supply, and gastric dumping/bile reflux. This study investigated various pyloric methods and analyzed comparative studies in order to determine the optimal pyloric procedure. Surgical procedures for the pylorus include pyloromyotomy, pyloroplasty, or digital fracture. Botulinum toxin injection, endoscopic balloon dilatation, and erythromycin are non-surgical procedures. The scope, technique, and effects of these procedures are changing due to advances in minimally invasive surgery and postoperative interventions. Some comparative studies have shown that pyloric procedures are helpful for DGE, while others have argued that it is difficult to reach an objective conclusion because of the variety of definitions of DGE and evaluation methods. In conclusion, recent advances in interventional technology and minimally invasive surgery have led to questions regarding the practice of pyloric procedures. However, many clinicians still perform them and they are at least somewhat effective. To provide guidance on the optimal pyloric procedure, DGE should first be defined clearly, and a large-scale study with an objective evaluation method will then be required.

Comparison of mastoid air cell volume in patients with or without a pneumatized articular tubercle

  • Adisen, Mehmet Zahit;Aydogdu, Merve
    • Imaging Science in Dentistry
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    • v.52 no.1
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    • pp.27-32
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    • 2022
  • Purpose: The aim of this study was to compare mastoid air cell volumes in patients with or without a pneumatized articular tubercle (PAT) on cone-beam computed tomography (CBCT) images. Materials and Methods: The CBCT images of 224 patients were retrospectively analyzed for the presence of PAT. The Digital Imaging and Communications in Medicine data of 30 patients with PAT and 30 individuals without PAT were transferred to 3D Doctor Software. Mastoid air cell volumes were measured using semi-automatic segmentation on axial sections. Data were analyzed using SPSS version 20.0. Results: The patients with PAT and those without PAT had a mean mastoid volume of 6.31±2.86 cm3 and 3.25±1.99 cm3, respectively. There were statistically significant differences in mastoid air cell volumes between patients with and without PAT regardless of sex and mastoid air cell side (P<0.05). Conclusion: The detection of PAT on routine dental radiographic examinations might be a potential prognostic factor that could be used to detect extensive pneumatization in the temporal bone. Clinicians should be aware that there may be widespread pneumatization of mastoid air cells in patients in whom PAT is detected. Advanced imaging should be performed in these cases, and possible complications due to surgical interventions should be considered.