• Title/Summary/Keyword: T- scores

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A Pilot Study on the Development and the Effect of a Cognitive-Behavioral Intervention for Undergraduates at Mental Health High Risk (정신건강 고위험군 대학생을 위한 인지행동치료적 개입의 개발 및 효과 확인 예비 연구)

  • Kim, Jihye;An, Sun-Hee;Park, You Jin;Park, Sehwan;Jhung, Kyungun
    • Korean Journal of Psychosomatic Medicine
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    • v.30 no.1
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    • pp.30-37
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    • 2022
  • Objectives : The purpose of this study was to develop a cognitive-behavioral intervention for college students at high risk for mental health and to investigate its effect on mental health outcomes. Methods : The program was developed to reduce depressive symptoms and adverse outcomes while promoting resilience and positive effects. It consisted of eight sessions in a small group format for eight weeks. Thirty subjects at high risk for mental health participated in the program. Outcomes on the depressive symptoms, resilience, satisfaction with life, negative affect, and positive affect were evaluated at pre-and post-intervention. Results : Depressive symptom scores reduced significantly post-intervention compared to pre-intervention (t=3.51, p=0.002). Resilience scores (t=-3.65, p=0.001) and satisfaction with life scores (t=-3.00, p=0.006) increased after intervention than pre-intervention. Positive affect scores decreased post-intervention (t=2.28, p=0.031). There was no significant difference between pre-and post-intervention negative affect scores (t=-0.94, p=0.356). Conclusions : Present study demonstrated that group-based cognitive-behavioral intervention could be helpful for college students at high risk for mental health to reduce mental health symptoms and improve healthy protective factors.

An Experimental Study of Radiographic Density of Alveolar Bone and Cortical Thickness of Mandible by Osteoporosis (골다공증에 따른 치조골 방사선사진농도와 하악하연두께의 변화에 대한 연구)

  • Lee Byeong-Do
    • Imaging Science in Dentistry
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    • v.30 no.4
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    • pp.235-242
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    • 2000
  • Purpose: To evaluate the effect of the systemic osteoporosis on radiographic density of alveolar bone and cortical thickness of mandible. Materials and Methods: The bone mineral density values of lumbar and femur were measured by dual-energy X-ray absorptiometry and T scores of lumbar, femur were obtained respectively. Radiographic densities of alveolar bones and panorama mandibular index (PMI, represents as cortical thickness) were analysed statistically according to age and T score variables. Results: The radiographic density of alveolar bone of maxillary molar showed significant difference by age and femur T group. That of mandibular molar showed significant difference between femur T group. Panorama mandibular index showed significant difference between age groups. Conclusion: The radiographic density of alvealar bones was more dependent on age and femur T than lumbar T. Cortical thickness of mandible was correlated with increasing age.

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The Effects of Aerobic Exercise on Chronic Schizophrenia (에어로빅 훈련이 만성정신분열병 환자에게 미치는 영향)

  • 오경옥
    • Journal of Korean Academy of Nursing
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    • v.24 no.1
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    • pp.5-17
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    • 1994
  • The purpose of this research was to determine whether or not a consistent program of aerobic exercise as a nursing intervention would have beneficial effect on schizophrenic patients. Nonequivalent control group pre-post test research was designed. Subjects for this study were selected from thirty-eight chronically schizophrenic patients who were hospitalized at S psychiatric hospital in Taejeon city. Of them seventeen were experimental group, twenty-one were control group. The data were collected during the period from November 1 to December 30, 1992. The instruments used in this study were Scale for Assessment of Negative Symptom developed by Andreason, Behavioral Observational Checklist (SASS) developed by Jorgensen, Harvard Step Up Test. The data were analyzed by descriptive statistics, t-test and paired t-test, using the SPSS program. The results of this study are summerized as follows : 1. The scores of SANS were a significantly difference from pre to posttesting, when the experimental group was contrasted to the control group (t=4.73, p=.00). 2. The scores of SASS were a significantly difference from pre to posttesting, when the experimental group was contrasted to the control group (t=3.42, p=.00). 3. The scores of physical fitness were a significantly difference from pre to posttesting, when experimental group was contrasted to the control group (t=-5.87, p=.00).

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A Study on the correlation between Drinking and MMPI in lunar cycle (달의 주기(週期)에 따른 음주(飮酒)와 인성(人性)과의 연관성(聯關性)에 관(關)한 조사연구(調査硏究))

  • Lee Seok-Jun;Ryu Yeong-Su;Ryu Hui-Yeong
    • Journal of Oriental Neuropsychiatry
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    • v.4 no.1
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    • pp.155-164
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    • 1993
  • In this study the author had attempted to establish a correlation among alcohol use and MMPI and lunar cycle. MMPI was carried on 2, April 1992(the last day of the second lunar month) and 15, June 1992(the fifteenth day of the fifth lunar month). These experiments took male and female students who were in WON KWANG University as subjects. The results of it suggested the followings. 1) Drinkers and normal subjects average of T-score in each scales were in a normal scores. 2) In every scales except L,K,Si scales drinkers showed higher scores than normal subjects. There was a significant difference on L, F, Pd, Pa, Sc, Ma scales. 3) On the fifteenth day of the month, drinkers showed Higher T-Scores than normal subjects in every scales excepts L,K,Si scales. There was a significant difference in Ma scale. 4) On the last day of the month, drinkers showed higher T-scores than normal subjects in every scales except L,K,Mf,Si scales. There was a significant difference on L, F, Pd, Sc, Ma scales. 5) Drinkers showed higher than normal subjects in symptom of neurosis and psychosis. As the results of above, human character changes to some extend according to alcohol use. There is a tendency that repeated drinking of college students prone to change into habitual drinking or alcoholic impairment. So controlled drinking among the college students is highly recommended.

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Does transcutaneous electrical nerve stimulation affect pain, neuropathic pain, and sympathetic skin responses in the treatment of chronic low back pain? A randomized, placebo-controlled study

  • Yaksi, Elif;Ketenci, Aysegul;Baslo, Mehmet Baris;Orhan, Elif Kocasoy
    • The Korean Journal of Pain
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    • v.34 no.2
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    • pp.217-228
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    • 2021
  • Background: The purpose of this study was to assess the effectiveness of transcutaneous electrical nerve stimulation (TENS) in chronic low back pain and neuropathic pain. Methods: Seventy-four patients aged 18-65 with chronic low back pain were included in the study. Baseline measurements were performed, and patients were randomized into three groups. The first group received burst TENS (bTENS), the second group conventional TENS (cTENS), and the third group placebo TENS (pTENS), all over 15 sessions. Patients' visual analogue scale (VAS) scores were evaluated before treatment (preT), immediately after treatment (postT), and in the third month after treatment (postT3). Douleur Neuropathique 4 Questions (DN4), the Modified Oswestry Low Back Pain Disability Questionnaire (MOS), the Beck Depression Inventory (BDI), and sympathetic skin response (SSR) values were also evaluated preT and postT3. Results: A statistically significant improvement was observed in mean VAS scores postT compared to preT in all three groups. Intergroup comparison revealed a significant difference between preT and postT values, that difference being assessed in favor of bTENS at multiple comparison analysis. Although significant improvement was determined in neuropathic pain DN4 scores measured at postT3 compared to preT in all groups, there was no significant difference between the groups. No statistically significant difference was also observed between the groups in terms of MOS, BDI, or SSR values at postT3 (P > 0.05). Conclusions: bTENS therapy in patients with low back pain is an effective and safe method that can be employed in short-term pain control.

Comparison of Teacher's and Students' Evaluations on OSCE Performance among College Nursing Students (객관화된 구조화 임상시험의 학생평가와 교수자 평가 간의 차이 비교 및 영향 요인)

  • Iikura, Atsumi;Suh, Eunyoung
    • Perspectives in Nursing Science
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    • v.11 no.2
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    • pp.153-161
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    • 2014
  • Purpose: This study was aimed to compare and contrast the evaluation scores on students OSCE performance between the instructors and students according to the Bloom's taxonomy. Methods: A total of sixty six students in a nursing college in Seoul, Korea and four instructors were recruited in the study. The 28 sophomore students were assigned to an OSCE on intravenous injection, whereas 38 junior students on tracheostomy care. Knowledge levels were measured by the students using the researcher developed knowledge questionnaires, and the attitudes and skills by the students and instructors by the modified clinical performance checklists. The data were analyzed by SPSS 22.0 program. Results: For knowledge, the higher GPA of the previous semester was only significant factor of higher knowledge scores. There were statistically significant differences in scores of total (t=-2.740, p=.008) and skill (t=-2.528, p=0.014), but not in attitude between the instructors and students' evaluations. The students evaluated their skill scores significantly higher than those of the instructors. For knowledge, the higher GPA of the previous semester was the only significant factor of higher knowledge scores. In attitude scores, the students in higher grade significantly overestimated themselves (t=3.076, p=.003). Conclusion: Clinical performance assessment requires methodological validity and reliability for student to attain necessary clinical skills properly and efficiently. The findings of this study mandate various assessment methods for nursing simulation evaluations to be valid.

The Effects of a Support Group Intervention on the Burden of Primary Family Caregivers of Stroke Patients (집단적 지지 간호중재 프로그램이 뇌졸중 환자 가족 수발자의 부담감에 미치는 효과)

  • Yoo, Eun-Kwang;Jeon, Sang-Hee;Yang, Jeong-Eun
    • Journal of Korean Academy of Nursing
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    • v.37 no.5
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    • pp.693-702
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    • 2007
  • Purpose: The purpose of this study was to develop and evaluate the effects of a support group intervention on the burden of primary family caregivers of stroke patients. Method: A nonequivalent control group pretest-posttest design was used. The subjects were 36 primary family caregivers of stroke patients [experimental(N=18) and control(N=18) groups] in a neurosurgery ward of a university hospital. The experimental group members participated in six sessions of a support group intervention for two weeks and the degree of their caregiving burden was evaluated. Data was analyzed by Chi-square tests, t-tests, and paired t-tests using SPSS 10.0. Result: The experimental group had a significantly lower total burden score (t=2.06l, p= .047)and sub-scales of emotional(t=-3.319, p= .002), time-dependent(t=-2.045, p= .049) and developmental(t=-2.656, p= .012) burden scores than the control group, while no significant differences were found in physical, social or financial burden scores between the two groups. Within the experimental group, there was a significant decrease in physical(t=2.507, p= .023), emotional(t=4.754, p= .000), social(t=2.932, p= .009), time- dependent(t=5.015, p= .000) and developmental(t=7.541, p= .000) burden scores but not the financial burden score. Conclusion: The results suggest that a support group intervention can be utilized as an effective nursing program to reduce the burden of primary family caregivers of stroke patients.

Intensity of Intraoperative Spinal Cord Hyperechogenicity as a Novel Potential Predictive Indicator of Neurological Recovery for Degenerative Cervical Myelopathy

  • Guoliang Chen;Fuxin Wei;Jiachun Li;Liangyu Shi;Wei Zhang;Xianxiang Wang;Zuofeng Xu;Xizhe Liu;Xuenong Zou;Shaoyu Liu
    • Korean Journal of Radiology
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    • v.22 no.7
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    • pp.1163-1171
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    • 2021
  • Objective: To analyze the correlations between intraoperative ultrasound and MRI metrics of the spinal cord in degenerative cervical myelopathy and identify novel potential predictive ultrasonic indicators of neurological recovery for degenerative cervical myelopathy. Materials and Methods: Twenty-two patients who underwent French-door laminoplasty for multilevel degenerative cervical myelopathy were followed up for 12 months. The Japanese Orthopedic Association (JOA) scores were assessed preoperatively and 12 months postoperatively. Maximum spinal cord compression and compression rates were measured and calculated using both intraoperative ultrasound imaging and preoperative T2-weight (T2W) MRI. Signal change rates of the spinal cord on preoperative T2W MRI and gray value ratios of dorsal and ventral spinal cord hyperechogenicity on intraoperative ultrasound imaging were measured and calculated. Correlations between intraoperative ultrasound metrics, MRI metrics, and the recovery rate JOA scores were analyzed using Spearman correlation analysis. Results: The postoperative JOA scores improved significantly, with a mean recovery rate of 65.0 ± 20.3% (p < 0.001). No significant correlations were found between the operative ultrasound metrics and MRI metrics. The gray value ratios of the spinal cord hyperechogenicity was negatively correlated with the recovery rate of JOA scores (ρ = -0.638, p = 0.001), while the ventral and dorsal gray value ratios of spinal cord hyperechogenicity were negatively correlated with the recovery rate of JOA-motor scores (ρ = -0.582, p = 0.004) and JOA-sensory scores (ρ = -0.452, p = 0.035), respectively. The dorsal gray value ratio was significantly higher than the ventral gray value ratio (p < 0.001), while the recovery rate of JOA-motor scores was better than that of JOA-sensory scores at 12 months post-surgery (p = 0.028). Conclusion: For degenerative cervical myelopathy, the correlations between intraoperative ultrasound and preoperative T2W MRI metrics were not significant. Gray value ratios of the spinal cord hyperechogenicity and dorsal and ventral spinal cord hyperechogenicity were significantly correlated with neurological recovery at 12 months postoperatively.

The effect of a diabetic group teaching program (당뇨병 환자 집단교육의 효과 및 교육효과 및 지속에 관한 연구)

  • 이향련
    • Journal of Korean Academy of Nursing
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    • v.23 no.2
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    • pp.170-186
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    • 1993
  • This study evaluated the effect of diabetic group teaching programs in one university hospital in Seoul to predict when re-education would be needed. This study examined the patients’ knowledge at four points (before, directly after, three months and six months after the teaching program) and self-care performance related to diabetes twice (three months and six months after the teaching program). The subjects of the study were 24 admitted diabetic patients who participated in four-day teaching programs. Data were gathered from January to October, 1992 by means of an instrument developed from two diabetic knowledge tests which were equivalent in item differentiation and item discrimination coefficients. Collected data were analyzed by paired t-test, Pearson correlation, t and F tests. The results of study were as follows. 1. The analysis of the effect of the diabetic group teaching program and the duration of the effect of teaching. 1) The first hypothesis, that the diabetes knowledge score directly after the teaching program would be higher than before, was rejected (t=-1.40 ; p=.172). 2) The second hypothesis, that the diabetes knowledge score directly after teaching would be higher than three months later, was rejected(t= -4.27 ; p=.000). 3) The third hypothesis, that the diabetes knowledge score three months after teaching would be higher than six months later, was supported(t=2.43 : p=.020). 2. The relation of knowledge and self-care performance 1) The forth hypothesis, that the level of self-care performance related to diabetes three months later would be higher than six months later, was rejected( t=1.49 ; p=.146). 2) The fifth hypothesis, that the higher the diabetes knowledge, the higher the level of self-care performance, was rejected(r=.2086 ; p=.118). 3. The relation of diabetes knowledge and self-care performance according to demographic variables and structural variables of diabetes. 1) Diabetic knowledge scores varied according to the educational levels of the clients directly after the teaching. Three months after the teaching program higher educational levels and higher economic status were related to higher diabetic knowledge scores and men had higher knowledge scores than women. 2) Self-care performance scores of men were higher than those of women at three months and six months after the teaching program. 3) Before the diabetes teaching, the diabetic knowledge scores of subjects who had a diabetic patient in the family were higher than those who did not have patient in their family. Six months after the teaching, the diabetic knowledge scores of subjects who read the distributed books about diabetes were higher than those who did not read them. 4) No significance differences were found be-ween self-care performance and structural variables of dialetes. The results of this study indicated that the levels of diabetes knowledge and self-care performance incense of three months after the teaching program but decrease of six months. Reeducation would be needed between three and sir months. The investigator thinks that a study of the content and teaching methodology is needed to increase the education effect. The subjects want to hear patient histories of diabetic management. Group discussion would be helped after the teaching sessions.

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The Effects of Systematic Health Education on Health Knowledge and Health Promotion Behavior in Elementary School Students (체계적 보건교육이 초등학생의 건강지식과 건강증진행위에 미치는 효과)

  • Nah, Ju-Young;Kim, Young-Im;Kim, Hyeon-Suk
    • Journal of the Korean Society of School Health
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    • v.24 no.2
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    • pp.173-180
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    • 2011
  • Purpose: This study was to examine the impacts of systematic health education on elementary school students and their health knowledge and health promotional behavior. Methods: This data collected compared 163 students who implemented the seventeen systematic health education behaviors with147 students who did not implement the behaviors during the same period. Results: The health knowledge scores for the implemented group was $18.45{\pm}3.04$ but $15.29{\pm}4.55$for the nonimplemented group. The scores for the implemented group were significantly higher (t=7.26, p<.001). The scores in health promotion behavior for the implemented group was $4.26{\pm}0.41$ and was higher also compared with the scores for the non-implemented group $3.85{\pm}0.50$. The scores for the implemented group were significantly higher (t=3.43, p<.001). The implemented group showed higher health knowledge, health promotion behavior than the non-implemented group. Conclusion: Because systematic health education has significant positive effects on elementary student's health knowledge and health promotion behavior, school health teachers need to maintain and progress continuous systematic health education in their schools.