• Title/Summary/Keyword: comparison of efficacy

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Comparison of the Efficacy of Caudal, Interlaminar, and Transforaminal Epidural Injections in Managing Lumbar Disc Herniation: Is One Method Superior to the Other?

  • Manchikanti, Laxmaiah;Singh, Vijay;Pampati, Vidyasagar;Falco, Frank J.E.;Hirsch, Joshua A.
    • The Korean Journal of Pain
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    • v.28 no.1
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    • pp.11-21
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    • 2015
  • Background: Epidural injections are performed utilizing 3 approaches in the lumbar spine: caudal, interlaminar, and transforaminal. The literature on the efficacy of epidural injections has been sporadic. There are few high-quality randomized trials performed under fluoroscopy in managing disc herniation that have a long-term follow-up and appropriate outcome parameters. There is also a lack of literature comparing the efficacy of these 3 approaches. Methods: This manuscript analyzes data from 3 randomized controlled trials that assessed a total of 360 patients with lumbar disc herniation. There were 120 patients per trial either receiving local anesthetic alone (60 patients) or local anesthetic with steroids (60 patients). Results: Analysis showed similar efficacy for caudal, interlaminar, and transforaminal approaches in managing chronic pain and disability from disc herniation. The analysis of caudal epidural injections showed the potential superiority of steroids compared with local anesthetic alone a 2-year follow-up, based on the average relief per procedure. In the interlaminar group, results were somewhat superior for pain relief in the steroid group at 6 months and functional status at 12 months. Interlaminar epidurals provided improvement in a significantly higher proportion of patients. The proportion of patients nonresponsive to initial injections was also lower in the group for local anesthetic with steroid in the interlaminar trial. Conclusions: The results of this assessment show significant improvement in patients suffering from chronic lumbar disc herniation with 3 lumbar epidural approaches with local anesthetic alone, or using steroids with long-term follow-up of up to 2 years, in a contemporary interventional pain management setting.

Effects of an Empowerment Program on the Burden of Mothers Having a Child with Cerebral Palsy* (임파워먼트 프로그램이 뇌성마비 아동 어머니의 부담감에 미치는 효과)

  • Eo, Yong-Sook
    • Journal of Korean Academy of Nursing
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    • v.35 no.1
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    • pp.154-164
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    • 2005
  • Purpose: The purpose of this study was to develop an empowerment program as a nursing intervention for mothers who care for a child with cerebral palsy at home and to determine the effects of the program on those mothers' self efficacy, coping behavior and burden. Method: An non-equivalent control group pretest-posttest design was used in this study. An Empowerment program was developed based on Dunst & Trivette's model. Using the program, the study was carried out from Dec. 13, 2003 to Jan. 17, 2004, mothers whose children, aged 1 to 6, were outpatients of the Dept. of Rehabilitation Medicine, at P University Hospital or registered at educational institutions for early disabled children. The experimental group of subjects were included in the new empowerment program which was held for two and half hours every week for 6 times. Results: After treatment with the Empowerment Program, the experimental group was found to be significantly increased in score for self efficacy(t=4.55, p<.01), coping behavior(t=5.54, p<.001), objective burden(t=-3.96, p<.01) and subjective burden(t=-5.05, <.01), in comparison to the control group. Conclusion: The Empowerment Program is very effective in increasing self efficacy and coping behavior of mothers having a child with cerebral palsy and decreasing their burden. Finally, this study would recommend that an empowerment program should be extended to community facilities such as public health offices and welfare centers.

Comparison of the effectiveness of SW-based maker education in online environment: From the perspective of self-efficacy, learning motivation, and interest (비대면 온라인 환경에서 SW기반 메이커교육의 효과성 비교: 자기효능감, 학습동기, 흥미도의 관점에서)

  • Kim, Tae-ryeong;Han, Sun-gwan
    • Journal of The Korean Association of Information Education
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    • v.25 no.3
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    • pp.571-578
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    • 2021
  • This study compares Online SW-based maker education in terms of self-efficacy, learning motivation, and interest after applying differently according to blended learning strategies. First, a SW maker program for blended learning was developed and applied as a live seminar-type class including real-time interactive and a support-providing class consisting of online content and Q&A. As a result of comparing the differences between students according to the two strategies divided into pre- and post- survey, in the self-efficacy part, there was a significant difference in the positive efficacy and the overall part, and in the learning motivation part, the live seminar form was significantly higher in the confidence part. In the interest part, the support-providing form showed a significantly higher average in the instrumental interest and nervous part. In order to maintain the effect of maker activities like existing face-to-face situations in Online learning, it is necessary to increase sharing time between students, an integrated learning environment, and sufficient provision of exploration time and learning materials.

Comparison of Fear of Falling, Self-Efficacy of Falling and Fall Prevention Behavior According to the Fall Experience of the Elderly (노인의 낙상경험에 따른 낙상 두려움, 낙상 효능감, 낙상예방행위 비교)

  • Jeong, Kyeongsook;Heo, Jeeun
    • Journal of The Korean Society of Integrative Medicine
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    • v.8 no.4
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    • pp.253-263
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    • 2020
  • Purpose : The purpose of this study was conducted to compare the fear of falling, self-efficacy and fall prevention behavior according to the fall experience of the elderly. Methods : The subjects of this study were 162 elderly in B metropolitan city. The data collection period was from September 10th to November 30th of 2018. The collected data was processed using SPSS 21.0 and was analyzed using descriptive statistics, t-test, ANOVA, Scheffe's test. Results : The mean scores for fear of falling according to the fall experience and no fall experience of the elderly were 2.28±0.63 and 1.84±0.64 respectively and the results showed that fear of falling (t=4.26, p<.001) and self-efficacy of falling (t=3.88, p<.001) were significantly different between the two groups, but the mean scores for fall prevention behavior according to the fall experience and no fall experience of the elderly were 1.63±0.20 and 1.67±0.17 respectively and there was no significantly different in fall prevention behavior (t=-1.16, p=.25). Fear of falling according to the fall experience was significantly different by age (F=3.25, p<.05) and physical activity related to daily life (F=13.22, p<.001). Self-efficacy according to the fall experience was significantly different by age (F=3.03, p<.05), income per month (F=3.74, p<.05) and physical activity related to daily life (F=11.99, p<.001). But fall prevention behavior was no significantly different of general characteristics. Fear of falling according to the no fall experience was significantly different by age (F=3.37, p<.05), marriage status (F=3.37, p<.05), education level (F=5.15, p<.01), income per month (F=3.58, p<.05) and physical activity related to daily life (F=15.71, p<.001). Self-efficacy according to the no fall experience was significantly different by sex (t=2.32, p<.05), age (F=5.20, p<.01), marriage status (F=5.04, p<.01), education level (F=6.55, p<.001), income per month (F=5.99, p<.001) and physical activity related to daily life (F=18.86, p<.001). Fall prevention behavior was significantly different by marriage status (F=3.51, p<.05). Conclusion : The results of this study suggest the following : it is necessary to develop a program that can lower the fear of falling in the elderly and to increase the self-efficacy of falling, and to develop an education program that can improve the elderly's practice of fall prevention behavior regardless of the fall experience and to verify its effectiveness.

The Effects of the Advance Organizer on Elementary School Students' Logical Thinking Ability and Self-Efficacy in Programming Class (선행조직자를 적용한 프로그래밍 학습이 초등학생의 논리적 사고력과 자기효능감에 미치는 영향)

  • Kim, Jong-Han;Choe, Hyun-Jong;Kim, Tae-Young
    • Journal of The Korean Association of Information Education
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    • v.15 no.2
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    • pp.189-199
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    • 2011
  • The purpose of this study is to verify the effects of the advance organizer in programming class on elementary school students' logical thinking ability and self-efficacy. We developed our teaching-learning materials of programming for this purpose, Further, they are applied to the elementary school, and their effects are analyzed. Fourth grade students in elementary school were selected for the experiments of this study, For comparison, they were divided into a control group who taught by a traditional programming teaching method and an experimental group who taught by our advance organizer programming class. As a result, through before-and-after t-verifications performed on the experimental group and the control group respectively, we found statically significant differences between the two groups, and the effectiveness of our new programming teaching method was proved in both learner's self-efficacy and logical thinking ability.

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Comparison of self-care and self-efficacy before and after childbirth in Pregnant women with Gestational Diabetes Mellitus (당뇨병을 가진 임부의 자가 간호와 자기효능감에 대한 출산 전후 비교)

  • Hong, Ji-Yeon;Lee, Mi-Joon;Kim, Seong-Shin;Lee, Ja-Yeon
    • Journal of Convergence for Information Technology
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    • v.11 no.10
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    • pp.293-301
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    • 2021
  • The aim of this study was to evaluate the difference of self-care and self-efficacy before and after childbirth in pregnant women with diabetes mellitus. Data were collected from 24 May 2018 to 23 May 2020 for 40 pregnant women over the 24th week of pregnancy. The collected data were analyzed by matched paired t-test using the SPSS 27.0 software program. 27 subjects (67.5%) were under the age of 35, and 13 subjects (32.5%) were over the age of 35. Self-care and self-effectiveness scores were lower in postpartum than in prenatal, which was statistically significant (p< .000). Therefore, it is necessary to develop a nursing intervention program to enhance self-care and self-efficacy after childbirth.

Comparison of Surgical Hand Scrub Formulations and Scrub Methods for Antimicrobial Efficacy (손 소독제 및 소독방법에 따른 외과적 손 소독 효과)

  • Kim, Myoung-Sook;Kim, Kyoung-Ja;Shin, Young-Ran;Park, Kwang-Ok;Mun, Hyang-Mi;Jeong, Jae-Sim;Kim, Mi-Na
    • Journal of Korean Biological Nursing Science
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    • v.9 no.2
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    • pp.118-124
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    • 2007
  • Purpose: The purpose of this study was to compare three surgical scrub methods-4% chlorhexidine gluconate(CHG) with brush, 4% CHG without brush, and waterless scrub using 1% CHG and 61% ethanol combination(alcohol-based agent)-for antimicrobial efficacy. Method: "Glove-juice technique" was used to evaluate microbial hand counts before surgical scrubs, 1 min and 3 hr after surgical scrubs. Result: Waterless scrub using CHG and ethanol combination resulted in a 4.8-log reduction at 1 min and 4.0-log reduction at 3 hr. CHG without brush resulted in a 4.7-log reduction at 1 min and 3.3-log reduction at 3 hr. The traditional scrub using CHG with brush resulted in a 3.6-log reduction at 1 min and 0.8-log reduction at 3 hr. The waterless scrub and CHG without brush showed significantly higher log reduction(p<.05) than CHG with brush at 1 min and 3 hr after surgical scrub. Waterless scrub showed greater log reductions than CHG without brush, but there was no statistical difference between the two groups. Conclusion: Waterless scrub using alcohol-based agent showed more persistent and immediate antimicrobial efficacy than either CHG with brush or CHG without brush.

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Research on Dental Technology students' objective and subjective indices before and after Practical training - D College in Daegu - (치기공과 학생들의 실전교육 전·후에 따른 객관적 지수와 주관적 지수에 대한 연구 - 대구 소재 D대학의 치기공과 학생을 대상으로 -)

  • Kim, Im-Sun;Choi, Byung-hwan;Kim, Won-Gi
    • Journal of Technologic Dentistry
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    • v.38 no.3
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    • pp.225-235
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    • 2016
  • Purpose: The purpose of this study aims to improve self-confidence, satisfaction and self fulfillment of dental technology students through practical skills competitions to meet the levels required by the industry. Method: The questionnaire was composed of 12 general characteristics, 23 self-efficacy, 25 practice satisfaction, 5 self-satisfaction, 12 self fulfillment out of 77 questions. The reliability of the surveys showed Cronbach' ${\alpha}=0.893$ on the self-efficacy, Cronbach' ${\alpha}=0.871$ on the practice satisfaction, Cronbach' ${\alpha}=0.857$ on self-satisfaction and Cronbach' ${\alpha}=0.941$ on self fulfillment. Results: Before and after the test result comparison showed a statistically significant difference for both men and women according to the general characteristics. Women's progress was higher than for men. The thought about dental technicians has changed for the better and showed a statistically significant difference. Subjects who have 3.1~3.5 school record showed the highest score on job skills, self-efficacy, practice satisfaction, self-satisfaction and self fulfillment according to the the general characteristics, and 3.6 ~ 4.0, 3.0 or less and 4.1 ~ 4.5 in order. Conclusion: This study was conducted with dental technology students who participated in practical skills competitions after 10 week 40 hours training in D college, and the results were as follows. Practical training improved the job performance, self-efficacy, practice satisfaction, self-satisfaction and self fulfillment improved significantly.

A Change of the ability of CPR After educations for Some Health College Students and the factors Effects CPR Performance (일부 보건계열 대학생들의 심폐소생술 교육 전·후 비교 및 교육 후 수행능력에 미치는 영향)

  • Park, Sang-Sub;Park, Dae-Sung;Ko, Chong-Hyeon;Kim, Yeong-Ah;Park, Jae-Seong
    • The Korean Journal of Emergency Medical Services
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    • v.12 no.3
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    • pp.17-26
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    • 2008
  • Purpose : This study aimed to make comparison before and after CPR training for health college students (departments of visual optics, occupational therapy, and health welfare administration). The questionnaire consisted of self-efficacy, knowledge, and attitudes toward CPR affect performance ability. Through this study, the researchers tried to provide basic data in developing of cardiopulmonary resuscitation training programs and training methods for health college students. Methods : This study was applied to 83 health college students (departments of visual optics, occupational therapy, and health welfare administration) in G Province. Data were collected from September 22 to October 9, 2008. Analysis was performed by using SPSS WIN 12.0 Version program. Frequency analysis, t-test, ANOVA, and Pearson's correlation coefficients were used. Statistical significance was based on p < .05. Results : 1. There was an increase with(${\rightarrow}$ in) 1.69 point before education and 3.01 after education of artificial ventilation(p < .001). There was an increase in 1.46 point before education and 3.24 after education of airway(p < .001). There was an increase in 1.54 point before education and 2.84 after education of chest compression location(p < .001). There was an increase in 1.97 point before education and 3.13 after education of chest compression(p < .001). 2. The difference between self-efficacy, knowledge, and attitude before and after CPR education, the self-efficacy increased from 2.08 point before education(p < .001 to 3.18 point after education. Knowledge increased from 2.09 point before education(p < .001) to 3.28 point after education. Attitude increased from 1.75 point before education(p < .001 to 3.05 point after education. 3. The correlation between self-efficacy, knowledge, and attitude toward CPR), was not changed before education. After education, knowledge showed quantitative correlation(r = .219, p < .05) with attitude. 4. In regression analysis with the aim of examining influence of self-efficacy, knowledge, and attitude upon performance ability, the effect wasn't given to performance ability before education. After education, the self-efficacy was indicated to have significant effect on performance ability(p < .05).

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The Effect of Small-Scale Chemistry(SSC) Lab Program on Science-Majored Student's Academic Self-Efficacy and Science-Related Affective Domain in High School Chemistry I Classes (Small-Scale Chemistry(SSC)를 적용한 화학 I 수업이 자연계열 고등학생의 학업적 자기효능감 및 과학 관련 정의적 특성에 미치는 영향)

  • Yoo, Mi-Hyun;Yoon, Hee-Sook;Hong, Hun-Gi
    • Journal of the Korean Chemical Society
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    • v.51 no.5
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    • pp.433-446
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    • 2007
  • The purpose of this study was to examine the effect of Small-Scale Chemistry(SSC) lab program on the academic self-efficacy and the science-related affective domain of 11th grade science-majored students. For this study, a SSC lab program was developed on the basis of analyzing the textbook of high school chemistry I in the 7th curriculum, and the experimental group was received SSC experiment lessons(SSC group), and the comparison group was received traditional experiment lessons. After students were grouped high and low level according to the students' prior science achievement score, the differences between the two groups were investigated using 2-way ANCOVA. From the result of this study, we found that the SSC lab program was more effective than the traditional Large-Scale lab program based on the textbook in academic self-efficacy. And the scores of interest toward science-related careers and creativity for the SSC group, which are subcategories of science-related affective domain were significantly higher than those for the comparison group. In students' perceptions on the SSC lab program, majority of students thought that the SSC lab program was convenient, effective and interesting.