• 지역사회간호학회지
• /
• 제26권4호
• /
• pp.405-414
• /
• 2015

Purpose: The purposes of this study were to examine the effects of home visit healthcare using a complex program on community-dwelling frail elders' physical strength, frailty, and depression and to compare the effects among three regions. Methods: This study was conducted as a quasi-experimental study using one-group pretest-posttest design. A total of 86 subjects were sampled from three regions (metropolis, small city, and rural area). The program was applied for 14 weeks. This program consisted of disease management by a visiting nurse, exercise with a visiting nurse, self exercise, telephone monitoring, health education, counseling, providing handbook, and incentive. Physical strength was measured by balance, upper-limb, and lower-limb muscle strength. Frailty was measured by the Korean Frail Scale and depression was measured by the Geriatric Depression Scale. Paired t-test and ANCOVA were used to analyze the effects. Results: Physical strength, frailty, and depression were significantly improved after applying the complex program. There were not differences among the regions. Conclusion: Home visit healthcare using a complex program was effective in improving frail elders' physical strength, frailty, and depression. There were not differences among the regions. Therefore, home visit healthcare using a complex program needs to be expanded to other regions.

• 대한약침학회지
• /
• 제8권1호
• /
• pp.45-49
• /
• 2005

Purpose : The purpose of this study was to identify the effects of Hominis Placenta Herbal Acupuncture(HPA) combined with Acupuncture compared with Acupuncture therapy. Methods : Data was collected from October 1st 2004 to February 28th 2005. A total of 8 women participated in this study. Of all subjects, 4 and 4 subjects were assigned to the experimental and the control group respectively. Subjects were treated three times a week. We used Visual Analogue Scale(VAS) for evaluating the effects of HPA. Results : There showed statistically boardline significance between the experimental group and control group(p=0.057). Conclusion : The results showed HPA has significant effects on menstrual cramps.

• 대한물리의학회지
• /
• 제7권4호
• /
• pp.509-514
• /
• 2012

PURPOSE: This study aims to compare the effects of upper backbone joint mobilization and self-stretching exercise in the patients with chronic neck pain. METHODS: Thirty seven patients with chronic neck pain were divides into self stretching group(SSG, n=18) and mobilization group(MG, n=19). To assess the degree of neck pain, the visual analog scale (VAS) was utilized, and to measure the joint range of motion at the flexion-extension, it was compared and analyzed by using the cervical range of motion (CROM) device. RESULTS: The joint range of motion and visual analog scale of SSG and MG showed significant effects on both groups. In the comparison of groups, there was no significant difference, but it indicated effects on improving the pain and the range of joint motion in MG. CONCLUSION: According to the analysis, not only self-stretching exercise intervening for direct treatment but also upper backbone joint mobilization intervening for indirect treatment are effective to improve the pain and the range of motion.

• The Korean Journal of Pain
• /
• 제24권2호
• /
• pp.74-80
• /
• 2011

Background: Lidocaine patch (L5P) has demonstrated short-term efficacy in treating both acute surgical pain and chronic neuropathic pain with tolerable side effects. Percutaneous endoscopic lumbar discectomy (PELD) is the mainstay of minimally invasive spine surgery (MISS). Sufficient analgesia during PELD surgery makes the patient consider it real MISS. This study was performed to evaluate the efficacy and adverse effects of lidocaine patch in patients who underwent PELD under local anesthesia. Methods: L5P (L group) or placebo (P group) was randomly applied on the skin of the back covering the anticipated path of the working channel before 1 hour of surgery in 100 patients who underwent a single level PELD at L4-L5. Efficacy of the lidocaine patch was assessed by patient's numeric rating scale (NRS) of pain at each stage during the surgery and by a 5-scale grading of the satisfaction with the anesthesia of the operator and patients after surgery. Results: Mean NRS scores at the stages of needle insertion, skin incision, serial dilation and insertion of working channel, and subcutaneous suture were significantly lower in the L group than the P group. Postoperative operator's and patients' satisfaction scores were also significantly higher in L group than in the P group. There were subtle adverse effects in both groups. Conclusions: L5P provided better pain relief during PELD, especially at the stage of needle insertion, skin incision, serial dilation and insertion of working channel, and subcutaneous suture. It also provided higher patient and operator postoperative satisfaction, with only subtle adverse effects.

• International Journal of Reliability and Applications
• /
• 제7권2호
• /
• pp.167-175
• /
• 2006

Effective and quick methods that are easy to carry out even by hand, or easy to be programmed by hand-held calculators are needed for assessing the sizes of contrasts of unreplicated $2^P$ factorial designs. Moreover, they have the advantage to use the original numerical measurements which makes the analysis easier to explain. Basically, Lenth (1989) is one of the most familiar of such quick and powerful methods. Later on, Aboukalam (2001) proposes under constant effects an alternative sophisticated method to Lenth's method. The proposed method is the supreme from two considerable powers. The first utmost indicates less inflation deficiency while the other utmost indicates less shrinkage deficiency. Also under constant effects, Al-Shiha (2006) introduces an alternative quick method which is less shrinkage deficiency while the inflation deficiency is the same. If effects are random, Aboukalam (2005) introduces an alternative quick method in which the first power is favored as long as the second power is within a small margin. In the spirit of quickness and fixed effects, this article adds another method which is supreme from the two considerable powers. The method is based on a one step of the scale-part of a suggested M-estimate for location. Explicitly, we suggest adapting the skipped median (ASKM) estimate. Critical values of ASKM-method, for several sample sizes often used, are empirically computed.

• 한국도로학회논문집
• /
• 제18권1호
• /
• pp.109-117
• /
• 2016

PURPOSES : The goal of this study is to analyze the operational effects of special roundabouts at large-scale rotaries in Korea. In pursuing the above, this study gives particular attention to comparing standard roundabouts with special roundabouts. METHODS : This study reviews the various types of roundabouts, creates 270 scenarios, builds networks, and comparatively analyzes the operational effects by using VISSIM simulation model and SSAM(Surrogate Safety Assessment Model). RESULTS : First, the operational effects of standard and signalized roundabouts were analyzed, and it was determined that standard roundabouts are the best in the case of under-saturated traffic volume, and signalized roundabouts are the best in the case of over-saturated traffic volume. Second, the operational benefits of a Turbo roundabout were evaluated to be generally lower than the benefits of a standard roundabout, and the benefits of a Turbo roundabout increase when right-turn traffic volume increases. Finally, the safety conflicts of a Turbo roundabout were determined to be the least and decrease when right-turn traffic volume increases. CONCLUSIONS : This study suggests that Turbo roundabouts rank highest for safety, and signalized roundabouts are best for over-saturated traffic volume. This study can be expected to provide some implications for policy decision-making.

• 한국가족관계학회지
• /
• 제22권4호
• /
• pp.157-179
• /
• 2018

Objectives: This study aimed to examine the relationship between Chinese adolescents' academic performance and smartphone overdependence as well as the moderating effects of parental involvement. Method: For this study, a survey was conducted with 472 adolescent students in three middle schools (n = 224) and three high schools (n = 248) in Shanghai, China. The survey consisted of the "S-Scale for Smartphone Addiction," the "Parental Involvement Scale," and questions regarding perceived academic performance using a demographic questionnaire. Results: The following are the major findings. First, after controlling for the students' demographic characteristics, hierarchical multiple regression analysis revealed that the students' perceived academic performance was negatively related to the levels of smartphone overdependence. Second, this study found significant moderation effects of parental involvement on the relationship between academic performance and smartphone overdependence. Chinese adolescents with low levels of perceived academic performance and high levels of perceived parental involvement showed high levels of smartphone overdependence. Finally, this study found significant moderation effects of parental involvement on the relationship between academic performance and smartphone overdependence only in middle-school students. Conclusions: These results indicate the need for healthy smartphone use and education and therapy programs for Chinese parents and adolescent children to prevent smartphone overdependence.

• Physical Therapy Rehabilitation Science
• /
• 제13권2호
• /
• pp.250-260
• /
• 2024

Objective: This study aimed to explore the effects of balance training using fully immersive VR devices on the balance and walking abilities of stroke patients. Design: Randomized controlled trial Methods: This study involved 54 stroke patients divided into three groups: VRT(VR and traditional physical therapy), VR(VR only), and TPT(traditional physical therapy only). Interventions were administered twice daily for 30 minutes over eight weeks. Outcome measures included the Berg Balance Scale, Timed Up and Go Test, 10-meter walk test, gait analysis, and Activities-specific Balance Confidence Scale. Results: The VRT and VR groups showed significant effects on spatiotemporal variables and confidence compared to the TPT group (p<0.05). Specifically, the VR group demonstrated superior effects in TUG, 10MWT, velocity, stride length, single-leg support, and ABC compared to the other two groups (p<0.05). Conclusions: Fully immersive VR balance training had a positive impact on balance, walking, and confidence in chronic stroke patients. Traditional physical therapy alone showed limited effectiveness, highlighting the potential of VR-based interventions in stroke rehabilitation. These findings underscore the importance of integrating VR technology into clinical practice to enhance outcomes for stroke survivors.

• The Journal of Korean Physical Therapy
• /
• 제26권3호
• /
• pp.175-181
• /
• 2014

Purpose: The purpose of this study is to investigate the effects of interference current therapy and laser therapy on functional recovery after total knee arthroplasty by measuring the Berg balance scale and range of motion. Methods: Subjects were 30 patients who were admitted to G Hospital after total knee arthroplasty. They were randomly assigned to experimental group I in which interference current therapy was applied (n=10), experimental group II in which laser therapy was applied (n=10), or the control group (n=10). The Berg balance scale and range of motion of the subjects were measured before, after 2 weeks, and after 4 weeks of therapy. Results: There was a statistically significant change (p<0.05) in the Berg balance scale and range of motion before and after therapy intervention among the laser therapy group and the interference current therapy group. There was also a significant change between the groups in the Berg balance scale and range of motion. Tukey's post hoc comparison showed a statistically significant difference between the control group and experimental group I and between the control group and experimental group II (p<0.05). Conclusion: The application of interference current therapy and laser therapy resulted in a significant change in both the Berg balance scale and range of motion among patients with total knee arthroplasty. The findings of this study can be used as preliminary clinical data in evaluating functional recovery in patients with total knee arthroplasty in a post-clinic setting.

• KSBB Journal
• /
• 제26권4호
• /
• pp.357-364
• /
• 2011

This study was carried out to investigate the effects of agitation, aeration and scale-up on the mycelial growth, exo-polysaccharide (EPS) production, and mycelial morphology in the liquid culture of Ganoderma lucidum. A correlation between roughness and operating variables was also studied to scale-up the liquid culture of G. lucidum in a jar fermenter. When the agitation speed or aeration rate increased, the morphological form was changed from rough pellet to smooth pellet form. Increase of the agitation and aeration reduced the mycelial roughness. On the other hand, in the case of pellet size, it was not affected by aeration. The higher EPS production was obtained at approximately 17% of roughness and mycelial pellet size of 3~5 mm. The morphology at each fermenter was closely correlated with kLa value, and it was found that similarity of morphology would be used as a criteria of scale-up for liquid culture of G. lucidum.