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The Effect of Day-Hospital Rehabilitation Program on Gross Motor Function for Children with Cerebral Palsy (재활 낮병동 프로그램이 뇌성마비아동의 대동작기능에 미치는 효과)

  • Kim, Ki-Jeon
    • The Journal of the Korea Contents Association
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    • v.14 no.5
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    • pp.262-271
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    • 2014
  • The purpose of this study was to find the effect of Day Hospital Rehabilitation programs on gross motor function in children with cerebral palsy. The subjects were 57 children with spastic cerebral palsy with no previous botulinum toxin injection or operation history within 6 months. The Gross Motor Function Measure(GMFM) score and Gross Motor Function Classification System(GMFCS) were used to evaluate as functional change and functional level. The Programs for Day Hospital Rehabilitation period for cerebral palsy children was 8 weeks. The results of the study are as follows: 1, GMFM Score of pre- and post-programs for Day Hospital Rehabilitation showed the statistically significant difference(p <.001). 2, The age group in 1-2 was higher than age 5-6 group, 3-4 was higher than age 5-6 group by Post-hoc analysis. Lastly, there was significantly different of GMFM in GMFCS level(p<.05), especially mild(GMFCS level I) and moderate(GMFCS level II, III) of CP showed that gross motor function was significantly different than severe(GMFCS level IV, V). The programs for Day Hospital Rehabilitation was effective on gross motor function for children with cerebral palsy, and for early intervention needs to mild, moderate CP, and below age 4 group.

A Longitudinal Study of the Relationship Between Health Behavior Risk Factors and Dependence in Activities of Daily Living (건강위험행태인자와 일상생활 의존성과의 관련성에 대한 추적자료 분석)

  • Jung, Sang-Hyuk;Ostbye, Truls;Park, Kyoung-Ok
    • Journal of Preventive Medicine and Public Health
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    • v.39 no.3
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    • pp.221-228
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    • 2006
  • Objectives: The purpose of this study was to shed further light on the effect of modifiable health behavior risk factors on dependence in activities of daily living, defined in a multidimensional fashion. Methods: The study participants were 10,278 middle aged Americans in a longitudinal health study, the Health and Retirement Survey (HRS). A multi-stage probability sampling design incorporating the effect of population sizes (Metropolitan and non-metropolitan), ethnicity (the non- Hispanic White, the Hispanic, and the Black), and age (age 51-61) was utilized. Basic Activities of Daily Living (ADL) were measured using five activities necessary for survival (impairment in dressing, eating, bathing, sleeping, and moving across indoor spaces). Explanatory variables were four health behavior risk factors included smoking, exercise, Body Mass Index (BMI), and alcohol consumption. Results: Most participants at baseline were ADL independent (1992). 97.8% of participants were independent in all ADL's at baseline and 78.2% were married. Approximately 27.5% were current smokers at baseline, and the subjects reported moderate or heavy exercise were 74.8%. All demographic characteristics and behavioral risk factors were significantly associated with the ADL status at Wave 4 except alcohol consumption. Risk behaviors such as current smoking, sedentary life style and high BMI at Wave 1 were associated with ADL status deterioration; however, moderate alcohol consumption tended to be more related to better ADL status than abstaining at Wave 4. ADL status at Wave 1 was the strongest factor and the next was exercise and smoking affecting ADL status at Wave 4. People who were in ADL dependent at Wave 1 were 15.17 times more likely to be ADL dependent at Wave 4 than people who were in ADL independent at Wave 1. Concerning smoking cigarettes, people who kept only light exercise or sedentary life style at Wave 1 were 1.70 times more likely to be died at Wave 4 than the people who did not smoke at Wave 1. Conclusions: All demographics and health behaviors at wave 1 had consistently similar OR trends for ADL status to each other except alcohol consumption. Smoking and exercise in health behaviors, and age and gender in demographics at Wave 1 were significant factors associated with ADL group separation at Wave 4.

Effect of Feeding Fermented Food Wastes on Consumer Acceptability of Pork Belly (남은 음식물 발효사료 급여가 돈육 삼겹살의 소비자 기호도에 미치는 영향)

  • Park Hong-Yang;Park Keun-Kyu;Jung Young-Chul;Lee Eui-Soo;Yang Si-Yong;Im Byoung-Soon;Kim Cheon-Jei
    • Food Science of Animal Resources
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    • v.24 no.4
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    • pp.386-392
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    • 2004
  • The objective of this experiment was to compare tile effect of feeding the commercial feeds (control) or fermented food waste feeds (FEWF) on consumer's acceptability and preference of pork belly. The bellies from carcasses of gilts and barrows were used. The consumers evaluated raw meat for color, freshness, fat amount (5=too much fat; 1= not enough fat), fat acceptability and overall acceptability on 5-point stale (5=most desirable; 3=moderate; 1=least desirable) and grilled belly for flavor, taste, texture, juiciness and overall acceptability on 5-point scale (5=most desirable; 3=moderate: 1=least desirable). Raw belly of control had higher scores in color than belly fed FFWF. However, there were no differences between treatments for freshness, fat contents, acceptability of fat contents and overall acceptability (p>0.05). There were no differences in any sensory trait between control and FFWF belly after cooking (p>0.05). Mean scores for preference or overall-liking of raw and cooked belly also were not significantly different between two groups (p>0.05). This results mean that feeding FFWF to pork didn't change the sensory Properties of belly meat.

Effect of Configuration of Shaft and Helix Plate on Bearing Capacity of Moderate-size Helical Pile : I. Test-bed Construction and Field Loading Test (중소구경 헬리컬 파일의 축과 원판의 형상이 지지력에 미치는 영향 평가 : I. 시험시공과 현장재하시험)

  • Lee, Jongwon;Lee, Dongseop;Kim, Hyung-Nam;Choi, Hangseok
    • Journal of the Korean Geosynthetics Society
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    • v.13 no.2
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    • pp.31-39
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    • 2014
  • The helical pile is a manufactured steel pile consisting of one or more helix-shaped bearing plates affixed to a central shaft. This pile is installed by rotating the shaft into the ground to support structural loads. The advantages of helical piles are no need for boring or grout process, and ability to install with relatively light devices. The bearing capacity of the helical pile is exerted by integrating the bearing capacity of each helix plate attached to the steel shaft. In this paper, to estimate the bearing capacity of moderate-size helical piles, 6 types of helical piles were constructed with different shaft diameter, plate configuration and the penetration depth. A series of field loading tests was performed to evaluate the effect of helical pile configuration on the bearing capacity of helical pile, constructed in two different shaft diameters (i.e. 73 mm and 114 mm). In the same way, the diameter of bearing plate was also changed from 400mm to 250mm with one or three plates. As well, the penetration depth was varied from 3m to 6m to analyze the relation between the penetration depth and the bearing capacity. As a result, not only the increase of the shaft diameter, but also the number or diameter of helix bearing plates enhances the bearing capacity. Especially the configuration of the helix plate is more critical than the shaft diameter.

A Study on the Effects of Absorptive Capacity in SMEs on Product Competitiveness: Considering the Moderating Effect of CEO's Entrepreneurship (중소기업의 흡수역량이 제품경쟁력에 미치는 영향 및 중소기업 CEO 기업가정신의 조절효과에 관한 연구)

  • Sohn, In Bae;Huh, Chul Moo
    • Asia-Pacific Journal of Business Venturing and Entrepreneurship
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    • v.12 no.4
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    • pp.61-72
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    • 2017
  • Although small and medium-size enterprises are facing the significant trends in the Fourth Industrial Revolution and Open Innovation which are increasingly in need, the subjects of absorptive capacity and entrepreneurship has not been studied sufficiently in order to enhance the competitiveness of SMEs' products and cope with the current trend. The purpose of this study is to investigate the effects of absorptive capacity of SMEs on product competitiveness and the moderating role of CEO's entrepreneurship between the absorptive capacity and the product competitiveness. The data were collected from 313 employees of 22 SMEs in the Seoul metropolitan area, Kyunggi-do and Chung-cheong province, and analyzed using hierarchical regression analysis. As a result of the hypothesis test, both the absorptive capacity of SMEs and CEO's entrepreneurship had a positive effect on the product competitiveness. In addition, also found out the innovativeness and the proactivness out of the three entrepreneurship had the moderate roles between the potential absorptive capacity out of the absorptive capacity and the product competitiveness. On the other hand, the risk-taking out of the three entrepreneurship had the moderate roles between the realized absorptive capacity out of the two absorptive capacity and the product competitiveness. These results suggest that open innovation and technological entrepreneurship are needed to help SMEs learn external resources and information to create performance. After discussing this conclusions and implications of the study, the direction for future study was presented.

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Tumor-like Presentation of Tubercular Brain Abscess: Case Report

  • Karki, Dan B.;Gurung, Ghanashyam;Sharma, Mohan R.;Shrestha, Ram K.;Sayami, Gita;Sedain, Gopal;Shrestha, Amina;Ghimire, Ram K.
    • Investigative Magnetic Resonance Imaging
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    • v.19 no.4
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    • pp.231-236
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    • 2015
  • A 17-year-old girl presented with complaints of headache and decreasing vision of one month's duration, without any history of fever, weight loss, or any evidence of an immuno-compromised state. Her neurological examination was normal, except for papilledema. Laboratory investigations were within normal limits, except for a slightly increased Erythrocyte Sedimentation Rate (ESR). Non-contrast computerized tomography of her head revealed complex mass in left frontal lobe with a concentric, slightly hyperdense, thickened wall, and moderate perilesional edema with mass effect. Differential diagnoses considered in this case were pilocytic astrocytoma, metastasis and abscess. Magnetic resonance imaging (MRI) obtained in 3.0 Tesla (3.0T) scanner revealed a lobulated outline cystic mass in the left frontal lobe with two concentric layers of T2 hypointense wall, with T2 hyperintensity between the concentric ring. Moderate perilesional edema and mass effect were seen. Post gadolinium study showed a markedly enhancing irregular wall with some enhancing nodular solid component. No restricted diffusion was seen in this mass in diffusion weighted imaging (DWI). Magnetic resonance spectroscopy (MRS) showed increased lactate and lipid peaks in the central part of this mass, although some areas at the wall and perilesional T2 hyperintensity showed an increased choline peak without significant decrease in N-acetylaspartate (NAA) level. Arterial spin labelling (ASL) and dynamic susceptibility contrast (DSC) enhanced perfusion study showed decrease in relative cerebral blood volume at this region. These features in MRI were suggestive of brain abscess. The patient underwent craniotomy with excision of a grayish nodular lesion. Abundant acid fast bacilli (AFB) in acid fast staining, and epithelioid cell granulomas, caseation necrosis and Langhans giant cells in histopathology, were conclusive of tubercular abscess. Tubercular brain abscess is a rare manifestation that simulates malignancy and cause diagnostic dilemma. MRI along with MRS and magnetic resonance perfusion studies, are powerful tools to differentiate lesions in such equivocal cases.

Effect of Curcuma longa L. on the Obesity and Insulin Resistance in Sprague-Dawley Rats and db/db Mice (SD계 랫트와 db/db 마우스에서 Curcuma longa L.가 비만과 인슐린저항성에 미치는 영향)

  • You, Mi-Kyoung;Kim, Min-Sook;Rhyu, Dong-Young;Kim, Hyeon-A
    • Food Science and Preservation
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    • v.20 no.1
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    • pp.1-6
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    • 2013
  • In this study, the effect of Curcuma longa L. on obesity and insulin resistance was investigated in animals fed a moderate high fat diet. The animals used in this study were normal weight Spargue-Dawley (SD) rats and type 2 diabetic obese db/db mice. Accumulation of abdominal adipose tissue and weight gain were inhibited in the animals fed the C. longa extract. C. longa decreased fasting insulin and HOMA-IR in the SD rats, and effectively decreased blood glucose and hemoglobin A1c in db/db mice. C. longa decreased serum free fatty acid (FFA) level in the SD rats. FFA in db/db mice fed C. longa tended to decrease. C. longa significantly decreased serum triglyceride level. Our results collectively represent that C. longa prevented fat accumulation and insulin resistance in both normal weight SD rats and type 2 diabetic obese db/db mice fed a moderate high fat diet.

The Moderating Effects of Resilience and Social Support on the Relation between Job-seeking Stress and Depression/Psychological Well-being (취업스트레스가 우울과 심리적 안녕감에 미치는 영향과 자아탄력성 및 사회적 지지의 조절 효과)

  • Eom, Na Yeon;Kim, Eunha
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.5
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    • pp.619-630
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    • 2016
  • As the level of job-seeking stress increases among college students, increasing attention is being paid to the variables that would decrease its negative effects through brief intervention programs or counseling. As such, in the present study, we examined the effects of job-seeking stress on depression and psychological well-being, and whether resilience (internal variable) and social support (external variable) would moderate such effects. In other words, we tested whether the negative effects of job-seeking stress on depression and psychological well-being would be decreased by resilience and social support. A total of 264 fourth-year college students and unemployed 4-year college graduates, who were looking for jobs in private and public enterprises participated in this study. The results indicated that resilience moderated the relation between job-seeking stress and depression, while social support did not. In contrast, resilience did not moderate the relation between job-seeking stress and psychological well-being, whereas social support did. These results suggest that as resilience increases, the effect of job-seeking stress on depression decreases, whereas as social support increases, the effect of job-seeking stress on psychological well-being decreases.

A Preliminary Study for Effect of High Flow Oxygen through Nasal Cannula Therapy in Carbon Monoxide Poisoning (일산화탄소 중독 환자에서 고유속 비강 캐뉼라 산소치료 효과에 대한 예비 연구)

  • Kim, Young-Min;Kim, Sang-Chul;Park, Kwan-Jin;Lee, Seok-Woo;Lee, Ji-Han;Kim, Hoon
    • Journal of The Korean Society of Clinical Toxicology
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    • v.17 no.2
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    • pp.102-107
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    • 2019
  • Purpose: Acute carbon monoxide (CO) poisoning is one of the most common types of poisoning and a major health problem worldwide. Treatment options are limited to normobaric oxygen therapy, administered using a non-rebreather face mask or hyperbaric oxygen. Compared to conventional oxygen therapy, high-flow nasal cannula oxygen (HFNC) creates a positive pressure effect through high-flow rates. The purpose of this human pilot study is to determine the effects of HFNC on the rate of CO clearance from the blood, in patients with mild to moderate CO poisoning. Methods: CO-poisoned patients were administered 100% oxygen from HFNC (flow of 60 L/min). The fraction of COHb (fCOHb) was measured at 30-min intervals until it decreased to under 10%, and the half-life time of fCOHb (fCOHb t1/2) was subsequently determined. Results: At the time of ED arrival, a total of 10 patients had fCOHb levels ≥10%, with 4 patients ranging between 10% and 50%. The mean rate of fCOHb elimination patterns exhibits logarithmic growth curves that initially increase quickly with time (HFNC equation, Y=0.3388*X+11.67). The mean fCOHbt1/2 in the HFNC group was determined to be 48.5±12.4 minutes. Conclusion: In patients with mild to moderate CO poisoning, oxygen delivered via high flow nasal cannula is a safe and comfortable method to treat acute CO toxicity, and is effective in reducing the COHb half-life. Our results indicate HFNC to be a promising alternative method of delivering oxygen for CO toxicity. Validating the effectiveness of this method will require larger studies with clinical outcomes.

A Study on the Factors Affecting the Performance of Social Ventures: Focusing on the Moderating Effects of Government Support (소셜벤처 성과 영향 요인에 관한 실증적 연구: 정부지원의 조절효과를 중심으로)

  • Kim, Yong Tae
    • Asia-Pacific Journal of Business Venturing and Entrepreneurship
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    • v.14 no.2
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    • pp.191-198
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    • 2019
  • This paper attempts to understand the factors that affect the social and economic performance of social venture and thereby obtain practical and useful implications. We analyze how such factors as social entrepreneurship, management competency, and organizational culture affect economic and social performance of 185 social venture in korea. In addition, we examine how government support may moderate the relationship of each variable. We find that innovativeness, proactiveness, risk-taking and social value orientation positively affect economic performance, whereas innovativeness, proactiveness and social value orientation can enhance social performance. We also learn that social entrepreneur's competency can have a direct effect on the enterprise's profitability, while organizational culture seems to affect performance of the companies only slightly. Government support is shown moderate effect of social entrepreneurship, competency, and organizational culture on the company's performance. Interestingly, our findings indicate that raising competency of social enterprise can be more effective than government support for enhancing performance of companies. Lastly, social venture's economic performance is shown to affect its social performance.