• 제목/요약/키워드: Systematic reduction study

검색결과 333건 처리시간 0.034초

광역학요법을 이용한 치주염치료 - 체계적 문헌고찰 및 메타분석 (Antimicrobial photodynamic therapy as an adjunct to nonsurgical periodontal treatment - Systematic review and Meta-analysis)

  • 모진아
    • 대한치과의사협회지
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    • 제54권6호
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    • pp.429-437
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    • 2016
  • Objectives: Photodynamic therapy has been proven to promote additional clinical and microbiological benefits in the treatment of chronic periodontitis and aggressive periodontitis. The purpose of this study is to assess the effectiveness of the photodynamic therapy for patient with periodontitis. Methods: We searched the eight Korean databases and Ovid-MEDLINE, Ovid-EMBASE, Cochrane Library. Total 300 studies were searched and 13 studies were included in the final assessment. Each of the stages from literature search and extraction of data were carried out independently by 2 researchers. We used tools of Scottish Intercollegiate Guidelines Networks for assessment of the quality of studies. Results: The safety of the photodynamic therapy was assessed by bleeding. The effectiveness of the photodynamic therapy was assessed by the reduction of Probing pocket depth (PPD) and the gain of Clinical attachment level (CAL). The mean difference of PPD was 0.46(95% CI 0.09~0.82), (p=.01).). The mean difference of CAL was ?0.49(95% CI ?1.12~0.14), (p=.13). Conclusion: The additional use of $^{\circ}{\infty}$Antimicrobial Photodynamic Therapy for Periodontitis$^{\circ}{\pm}$ caused hemorrhage to similar extents to conventional treatment modalities, where scaling and root planing are solely performed, in patients with periodontitis who are expected to have a lower degree of treatment response to non-surgical or surgical periodontal therapies (implant or refractory periodontitis) and those where there is a concern for the possible occurrence of antimicrobial side effects or resistance. This indicates that there are no problems with its safety. But there were no consistent reports about the effects of the additional use of photodynamic therapy. This led to a decision that the safety and efficacy of the current technology deserve further studies (Recommendation rating of A, Classification of technology II-a).

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The Effects of Herb Aroma Components on the Reduction of Depression - Focused on University Students -

  • Lee, Min-Hee;Koh, Jae-Won;ChoJo, Tae-Dong
    • 한국환경과학회지
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    • 제20권4호
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    • pp.435-442
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    • 2011
  • In this study, to investigate the effects of herb aroma components, the BDI test was performed with the 124 students of the Youngdong University and the subjects whose score was 16 or higher were selected and allocated to the herb-extracted aroma-treated group and the non-treated group, 27 and 10 students for each group. The BDI and SDS tests were carried out at each stage (before and after the treatment, 10 days later and 30 days later). The result showed that the pre-treatment BDI test result was significantly different from all those of the post-treatment test, and the tests after 10 days and 30 days in the aroma-treated group. In the SDS test, the pre-treatment test result was significantly different from the results of the post-treatment test and the test after 10 days, while it was not significantly different from the result of the test after 30 days. Additionally, to verify whether the change within the group is larger than that by natural recovery or not, ANCOVA was performed with respect to the difference in the pre-treatment test score between the groups depending on whether the treatment was given or not, having the SDS pre-treatment score as the covariate, and the result showed that the post-treatment test scores were significantly different. Thus, it was verified that, if the SDS test score is considered as the depression indicator, the effect of aromatherapy was greater than the change by natural recovery. The difference in the post-treatment test score was analyzed depending on whether the treatment was given or not, having the BDI pre-treatment test score as the control variable, and the result showed that the post-treatment test scores were not significantly different. Based on such a theoretical verification, it is assumed that the nature-friendly treatment method using herb aroma components can be a great help in suppressing depression. Therefore, it is expected that herb aroma components can provide systematic therapeutic effect on the suppression of depression.

국내 비특이적 만성 요통 환자에게 적용한 비약물적 중재의 효과: 체계적 문헌고찰 및 메타분석 (The Effectiveness of Non-pharmacologic Interventions for Chronic Nonspecific Low Back Pain: A Systematic Review and Meta-analysis)

  • 정미정;이해인
    • 동서간호학연구지
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    • 제26권1호
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    • pp.1-16
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    • 2020
  • Purpose: The purpose of this study was to evaluate the effectiveness of non-pharmacologic interventions for chronic nonspecific low back pain (CLBP) in adults aged 18-64 years. Methods: We searched for potentially relevant randomized controlled trials and non-randomized controlled trials through five Korean electronic databases (i.e., Korean Studies Information Service System, Research Information Sharing Service, Korean Medical Database, KoreaMed, and National Assembly Library) published from January 2010 to May 2019. Two investigators independently selected the studies based on the criteria and assessed risk of bias in the included studies. We estimated the effect size of interventions using Comprehensive Meta Analysis 3.3. Results: Of 10,151 studies, 26 studies met the inclusion criteria and 15 studies were included in the meta-analysis. Exercise reduced low back pain (Hedges's g=-1.53, 95% CI: -2.22 to -0.85) and pain-related disabilities (Hedges's g=-0.92, 95% CI: -1.40 to -0.45). We found that taping was effective in decreasing low back pain (Hedges's g=-1.12, 95% CI: -1.51 to -0.73) and pain-related disabilities (Hedges's g=-0.50, 95% CI: -0.93 to -0.07). Manual therapy yielded a marginally significant reduction in low back pain (Hedges's g=-2.32, 95% CI: -4.64 to 0.00), the therapy was not effective in decreasing pain-related disabilities. Conclusion: Although there was little evidence for the effectiveness of manual therapy in adults with CLBP, exercise and taping were effective to relieve pain and pain-related disabilities. Based on these findings, we suggest the development of non-pharmacologic interventions or a nursing intervention protocol for the CLBP management. Also, nurses should consider implementation of effective non-pharmacologic interventions for CLBP.

Multimorbidity and Its Impact on Workers: A Review of Longitudinal Studies

  • Cabral, Giorgione G.;de Souza, Ana C. Dantas;Barbosa, Isabelle R.;Jerez-Roig, Javier;Souza, Dyego L.B.
    • Safety and Health at Work
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    • 제10권4호
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    • pp.393-399
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    • 2019
  • Objective: This study investigates the impact of multimorbidity on work through a literature review of longitudinal studies. Methods: A systematic review was carried out in the databases Lilacs, SciELO, PAHO, PubMed/Medline, Scopus, Web of Science, and Cochrane. There were no restrictions regarding the year of publication or language to maximize the identification of relevant literature. The quality of studies was assessed by the protocol STrengthening the Reporting of OBservational studies in Epidemiology (STROBE). Results: An initial database search identified 7522 registries, and at the end of the analysis, 7 manuscripts were included in the review. Several studies have demonstrated direct and indirect impacts of multimorbidity on the health of workers. For this, the number of missed days due to health-related issues was evaluated, as well as the reduction in work productivity of the unhealthy worker, vulnerability of the worker with multimorbidity regarding higher indices of dismissal and recruitment difficulties, and incidence of early retirement and/or receipt of benefits due to disabilities. Conclusions: Multimorbidity has a negative impact on work, with damages to quality of life and work productivity, worsening the absenteeism/presenteeism indices, enhancing the chances of temporary or permanent leaves, and lowering employability and admission of individuals with multimorbidity.

한국의 극한 기온 및 강수 사상의 변화 경향에 관한 연구 (Trends on Temperature and Precipitation Extreme Events in Korea)

  • 최영은
    • 대한지리학회지
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    • 제39권5호
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    • pp.711-721
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    • 2004
  • 기상과 관련된 재해의 직접 원인이 되는 극한 기후 사상의 발생 빈도 및 강도의 변화 경향을 파악하는 것이 된 연구의 목적이다. 일최저기온, 일최고기온, 일강수량 자료를 이용하여, 10개 기후 변화 지시자를 산출하였다. 그 변화 경향의 공간 분포를 파악하였다. 일최저기온을 이용하여 산출된 온난야의 발생 빈도는 한반도에서 증가하는 추세를 나타냈고. 최저기온의 증가로 인하여 서리일수는 감소하고 생장기간은 증가하였다. 매해의 일최저기온과 일최고기온의 차로 산출되는 연극한기온교차는 최고기온은 변화하지 않았지만. 최저기온의 증가로 인하여 감소하고 있다. 강수와 관련된 지시자들은 기온 관련 지시자에 비하여 변화 경향이 뚜렷하지 않지만, 무강수일수의 한반도 시계열은 감소하는 경향이 나타났고, 호우지수로 분류될 수 있는 강수강도는 증가하고 있다.

시스템 다이내믹스를 활용한 토공량 산정 모형 구축 (A Earth-Volume Estimate Model by System Dynamics)

  • 황영조;원서경;한충희;김선국
    • 한국건설관리학회:학술대회논문집
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    • 한국건설관리학회 2006년도 정기학술발표대회 논문집
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    • pp.467-470
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    • 2006
  • 모든 건설공사의 기초를 이루는 토공사는 건설기계의 사용으로 오늘날까지 많은 발전을 이루어 왔으나, 공기단축 및 원가절감에 있어 중요한 요소인 토공장비의 적정한 조합시공방안이 체계적으로 정립되어 있지 않고 경험에 의존하여 수행되는 상태로 관련분야에 대한 체계적인 연구가 필요한 실정이다. 합리적인 기계화 토공은 공사에 투입될 장비의 성능 및 특성, 공사의 종류, 규모 및 주위의 여건 등을 사전에 철저히 파악해야 하며, 사용 가능한 몇 가지 규격의 장비를 선정하여 최적조합시공을 계획해야 한다. 이에 본 연구에서는 시스템 다이내믹스 기법을 활용하여 토공작업의 여러 단계 중 기계화 토공장비의 굴착 후 적재 및 운반단계를 대상으로 토공장비의 최적조합시공에 의한 토공량 산정 모형을 구축한다. 이 연구의 결과로 도출되는 토공장비의 최적조합시공모형은 토공계획을 담당하는 관리자가 토공장비의 선정에 있어 최단시간에 합리적인 판단을 하게 해줄 것으로 기대된다.

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산불현장 지상진화 행동매뉴얼 구축 방안 -국유림관리소 지상진화대원 업무를 중심으로- (Construction Plan of Ground Fire Fighter Conduct Manual on Forest Fire Occurrence Site -Case Study on Ground Fire Fighter Team of National Forest Office-)

  • 이시영;이명욱
    • 한국화재소방학회논문지
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    • 제21권3호
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    • pp.8-14
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    • 2007
  • 산불현장에서 산불진화 단계에 따라 조치하여야 할 국유림관리소의 개인별 임무 역할 수행내용에 대한 행동매뉴얼 구축방안을 제시하였다. 본 매뉴얼의 적용범위는 (1) 헬기 도착 전에 초기산불 진화에 활용, 2) 헬기 투입 후 지상진화지원 활동에 활용, (3) 헬기 철수 후 뒷불진화에 활용, (4) 헬기진화 불가능한 야간진화에 활용에 두었다. 또한, 본 매뉴얼은 주로 현장진화 지휘자 또는 담당자의 임무를 산불대응 단계에 따라 제1단계인 산불접수단계에서 10단계 철수단계에 이르기까지 총 10단계로 구별하여 정리하였으며, 진화대원들이 평상시 이를 숙지하여 진화대원의 안전은 물론이고 체계적이고 신속한 현장 대응을 통해 산불로부터 인명, 재산피해 및 산림피해를 감소시키는데 기여하고자 개발하였다.

비만 초등학생의 토요 영양 교실의 운영 효과 평가 (Evaluation of Saturday Nutrition Classes for Obese Elementary Students in Chungnam Province)

  • 박진희;이용숙;김완수;배윤정;이지은;최윤희;전예숙;최미경
    • 동아시아식생활학회지
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    • 제17권1호
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    • pp.11-19
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    • 2007
  • This study was designed to evaluate Saturday nutrition classes for obese elementary students in Chungnam Province. Obesity index, nutrient intake, nutrition knowledge, nutrition attitude, and self-satisfaction of 36 obese elementary students were compared before and after attending nutrition classes every other Saturday for 3 months. The average age, height, weight, body fat, % body fat, and obesity index were 11.9 years, 145.5 cm, 53.3 kg, 24.5 kg, 45.7%, and 32.4%, respectively. Most of the subjects(94.5%) viewed themselves as fat. Sixty-three percent of children were discontent with their body-image. All answered that they have experience with weight control. The major methods of weight control were exercise and reduction of snacks. The mean serum cholesterol, blood glucose, GOT/GPT, and hemoglobin were 177.4 mg/dL, 90.4 mg/dL, 25.8/25.5 IU/L, 14.5 g/dL, respectively. After attending nutrition classes, the daily intakes of energy, plant protein, plant fat, carbohydrate, crude fiber, and cholesterol increased significantly. The scores for nutrition knowledge, nutrition attitude, and self-satisfaction also increased after nutrition classes, but there were no significant differences. Percent body fat decreased significantly after nutrition classes. In conclusion, nutrition education for elementary students is effective for the prevention and control of obesity. Further research is needed to develop a systematic program of nutrition education for obese children.

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초등학교 비만교육의 실태 및 중요도와 수행도 분석에 관한 연구 (The Status, Importance and Performance of the School Obesity Education in Elementary School)

  • 허윤영;황진아
    • 대한지역사회영양학회지
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    • 제14권1호
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    • pp.43-54
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    • 2009
  • The purpose of the study was to investigate the status of the nutritional education program on educational perception, facilities, contents and systems, which were focused on the school obesity education in the elementary school. A five point Likert scale was used to evaluate the importance and performance of each item in four sections of the survey and Importance-Performance Analysis (IPA; gap between importance and performance) matrix analysis was applied to determine improvement priority. The findings from IPA matrix analysis are in the following. The items of the sections to be improved intensively are recognition of parents and in-charge teacher, availability of the education place, preparation of consulting room, preparation of various teaching media, interest of an education program, meal adjustment of overweight children, combination with education and exercise, education for psychological factors, development of scientific and systematic education program and reduction of meal service duty for education. Accordingly, the IPA matrix analysis suggested that an intensive improvement area should be excessively concentrated on for better performance. The regional gap between importance and performance showed significant difference for textbook and diet of overweight children in Kyunggi-Do. There were significant differences for the government perception, dietary habits and food-life education, fast-food education, education for breakfast importance, and education of school meal indication system and method to read food nutrition indication in Chollabuk-Do. As for the age gap between importance and performance, the twenties showed significantly bigger gaps in perception of school dietitians and linking between school meals and diet education. Therefore, more proactive efforts for the education for obesity prevention are necessary to prevent childhood obesity in elementary school and to help children to possess better health throughout their entire lives.

우리나라 주요항만의 조위분석 (Analysis of Tidal Observations at Major Ports around Korean Coast)

  • 최병호
    • 한국측량학회지
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    • 제2권1호
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    • pp.17-33
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    • 1984
  • 우리나라 연안의 12개 주요항만-인천, 군산, 목포, 대흑산도, 제주, 여수, 진해, 부산, 포항, 울산, 묵호, 속초항의 이용가능한 1979년까지의 장기조위관측 자료가 정비되어 철저한 분석이 수행되었다. 교통부 수로국이 제공한 주요항만의 매시간별 검조자료는 일연의 조위자료 편집체계를 이용하여 매시간별 관측시계열, 조위시계열 및 비조위시계열로 구성되어 해면연구를 위한 기초자료근거를 수립하였다. 첫 단계로 각 항만의 조위분석이 연별로 확장조화분석법에 의해 수행되어 판별가능한 분조들의 조화상수들이 제시되었으며 또한 각 항만의 해면연계, 해면빈도분포, 해면노정곡선이 착시되었으며 초기결과가 토의되었다. 본 연구는 교통부 수로국의 해면변화조사사업 및 건설부 국입지리원의 일등수준강 조정사업의 일환으로서 수행되었는데 해면변화 및 조석연구를 위한 기초자료를 제공하는데 기여할 것이다.

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