• Title/Summary/Keyword: independent trial

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Effect of upper extremity coordination exercise during standing on the paretic side on balance, gait ability and activities of daily living in persons with stroke

  • Kim, Ju-O;Lee, Byoung-Hee
    • Physical Therapy Rehabilitation Science
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    • v.6 no.2
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    • pp.53-58
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    • 2017
  • Objective: The purpose of this study was to determine the effect of upper extremity coordination exercise (UECE) during standing on the paretic side on balance, gait ability and activities of daily living (ADL) in persons with stroke. Design: A randomized controlled trial. Methods: A total of 27 patients with hemiplegic diagnosis after stroke were divided into two groups. Fourteen patients were in the study group and 13 patients were in the control group. The study group received conventional physical therapy and UECE during standing on the paretic side. The control group received conventional physical therapy and simple upper extremity exercise (SUEE). Subjects in both groups were given upper extremity training for 30 minutes per day, five times a week for 4 weeks. Initial evaluation was performed before treatment and reevaluated 4 weeks later to compare the changes of balance, gait ability and ADL (Korean version of modified Barthel index, K-MBI). Results: Both groups showed a significant effect for balance, gait ability and ADL (p<0.05). In the Independent t-test, between both groups showed a significant effect for balance and gait ability except ADL (p<0.05). Conclusions: In this paper, we investigated the changes in balance, walking, and ADL through UECE. We found significant changes in the study group and the control group. Results of the present study indicated that UECE during standing on the paretic side for 4 weeks had an effect on balance, gait ability and ADL (K-MBI) in persons with hemiplegia after stroke.

Buddha's View on Children in the Family (불타(佛陀)의 재가아동관(在家兒童觀))

  • Pack, Kyung Im
    • Korean Journal of Child Studies
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    • v.2
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    • pp.55-66
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    • 1981
  • Research on children should be perferably made in reference with the past thinking if it is to be affirmed by the present and to predict the future. In this respect, Buddhism, which is one of the major original thinkings in the Orient as well as the most influential religion upon Koreans daily lives and attitudes, deserves to be researched in the light of education of children. In this thesis, I have made a trial to delve into the original Buddhistic scriptures to find out Buddha's outlook on home children and arrived at the following conclusions: 1. Concerning human development stages, Buddha regarded the starting point of human life from fertilization instead of birth, even at that ancient time, and the fetal life was devided into 4, 5, or 8 stages. 2. In spite of the numerous scriptures by Buddha, very little is written about children, and even these teaching did not regard the child as an independent entity. In addition, since Buddha was a person of superior enlightenment, he did not regard the age of human beings as of great importance. 3. On the relationship between parents and children, Buddha warned the extra ordinary attachment of parents toward children, because such attachment would be an obstacle in the search of truth. This idea was originated from his thought that the relationship between parents and children was not a single fixed one but of unlimited variation through numerous life times of reincarnation. This idea gives some illumination upon the problems of today's education where parent's exclusive attachment to their children and over-protection are hindrance for successful education. 4. Buddha put emphasis on parents' social duty, by which he meant that parents should care and accept not only their biological children but all children and all living things as if they were their own children. 5. Regardeding the children's role to their parents, Buddha taught that children should respect and support their parents under any condition. Buddha also emphasized that true filial piety was to help parents to improve their religious status by helping them attain the truth, morality, and wisdom. It is my intention to investigate Buddha's View tin children of entering pristhood.

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Effects of Auricular Acupressure on Menstrual Pain, Difficulties in Daily Life, Negative Feelings and Autonomic Nervous Responses in Female College Students (귀반사요법이 여자대학생들의 월경통, 일상생활 장애, 부정적인 정서 및 자율신경계 반응에 미치는 효과)

  • Kim, Nan Young;Kim, Min A;Choi, So Eun
    • Journal of Korean Biological Nursing Science
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    • v.17 no.2
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    • pp.159-168
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    • 2015
  • Purpose: The purpose of this study was to determine the effects of auricular acupressure on menstrual pain, difficulties in daily life, negative feelings and autonomic nervous responses among college students. Methods: A Randomized Controlled Trial design was used. The treatment group A (n=12) receivedauricular acupressure therapy on the first or second day of their menstrual period. Treatment group B (n=18) regularly received an auricular acupressure therapy once a week for a month. The control group (n=19) received no auricular acupressure therapy. An independent t-test was used to examine pre-post test differences in the group. The ANOVA and Scheffe test were used to examine pre-post test differences among the group. Results: Subjects in treatment group A showed significantly less menstrual pain, difficulties in daily life, and negative feelings than the control group did. The participants in treatment group B also showed significantly less difficulties in daily life and negative feelings than the control group. Conclusion: The findings support that auricular acupressure therapy on menstrual periods is effective in controlling menstrual pain, difficulties in daily life, and negative feelings. As the method is simple, it would be useful for female students to learn to use this method to alleviate the symptoms related to menstruation through self care.

Efficacy of nonsurgical periodontal therapy on glycaemic control in type II diabetic patients: a randomized controlled clinical trial

  • Telgi, Ravishankar Lingesha;Tandon, Vaibhav;Tangade, Pradeep Shankar;Tirth, Amit;Kumar, Sumit;Yadav, Vipul
    • Journal of Periodontal and Implant Science
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    • v.43 no.4
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    • pp.177-182
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    • 2013
  • Purpose: Diabetes and periodontal disease are two common diseases with high prevalence rates. Recent evidence has shown a bidirectional relationship between diabetes and periodontitis. The aim of this study was to investigate the effects of nonsurgical periodontal therapy on glycemic control in type 2 diabetes mellitus patients. Methods: Sixty subjects aged 35-45 years with blood sugar controlled by oral hypoglycaemic agents were randomly divided equally among 3 groups: group A (scaling, mouthwash, and brushing), group B (mouthwash and brushing), and group C (brushing only). Glycated haemoglobin (HbA1c), fasting blood sugar (FBS), probing pocket depth (PPD), gingival index (GI), plaque index (PI), and the relevant drug history were recorded at baseline and after 3 months of intervention. Comparison of the mean difference among the variables was performed by parametric and nonparametric tests, which were further evaluated using multiple regression analysis. Results: The mean differences between the PPD, FBS, HbA1c, GI, and PI in groups A and B were found to be statistically significant (P<0.001). Multiple regression analysis in group A showed that out of all the independent variables, GI and frequency of drug administration independently (b=0.3761 and b=0.598) showed a significantly greater impact on HbA1c ($R^2$=0.832, P<0.05). Conclusions: Nonsurgical periodontal therapy can effectively decrease HbA1c levels in type 2 diabetes mellitus patients on medication.

Experimental approach for selecting an optimal PID control gain using genetic algorithm for stewart platform (유전 알고리즘을 이용한 스튜어트 플랫폼의 최적 PID 제어 게인 선정을 위한 실험적 접근)

  • Park, Min-Kyu;Hong, Sung-Jin;Lee, Min-Cheol
    • Journal of Institute of Control, Robotics and Systems
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    • v.6 no.1
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    • pp.73-80
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    • 2000
  • The stewart platform manipulator proposed by stewart is the parallel manipulator which is composed of several independent actuators connecting the upper plate with the base plate and capable of executing a six degree of freedom motion. The manipulator has a structure of a closed loop form, and provides better load-to-weight ratio and ratio and rigidity than a serial manipulator with an open loop form. Moreover, the manipulator has high positional accuracy because position errors of actuators are not additive. Because of these advantages, this manipulator is widely used in many engineering applications such as a driving simulator, a tool of machining center, a force/torque sensor and so on. When this Stewart platform manipulator is controlled in joint space, it is difficult to design a controller using an analytic method due to nonhnearity and unknown parameters of actuators. Therefore, a PID controller is often used because of easiness in applications. To find the PID control gain, a trial-and-error method is generally used. This method is time-consuming, and does not guarantee a optimal gain. Thus, this paper proposes a GA-PID controller which selects an optimal PID control gain using genetic algorithms. And this proposed controller is evaluated experimentally and shows acceptable performance.

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A Development for 'Attitude toward Work Scale' on Welfare Recipients (공공부조수급자의 "일에 대한 태도" 척도 개발)

  • Jung, Jin-Kyung
    • Korean Journal of Social Welfare
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    • v.56 no.3
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    • pp.207-225
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    • 2004
  • This study aims to develop an attitude toward work scale on the welfare recipients in Korea. This study has process through literature review and empirical research. As a results, there are 3 factors, 'independent/reliance', 'work as itself', 'hardworking and success' in this scale. And this scale is composed of 11 items with 5 likert scale. The sums of squared loading of this scale is 54.9%, and the internal reliability is ${\alpha}=.79$. The means of attitude toward work on welfare recipients in Korea is 43.9 among the total sum 55. This means the welfare recipients in Korea have highly positive attitude toward work. This study has an implication as a first trial to measure work attitude on welfare recipients in Korea more objective and scientific. But this scale need some follow-up study to improve the validity and elaboration.

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Attachment systems for mandibular implant overdentures: a systematic review

  • Kim, Ha-Young;Lee, Jeong-Yol;Shin, Sang-Wan;Bryant, S. Ross
    • The Journal of Advanced Prosthodontics
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    • v.4 no.4
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    • pp.197-203
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    • 2012
  • PURPOSE. The aim of this systematic review was to address treatment outcome according to attachment systems for mandibular implant overdentures in terms of implant survival rate, prosthetic maintenance and complications, and patient satisfaction. MATERIALS AND METHODS. A systematic literature search was conducted using PubMed and hand searching of relevant journals considering inclusion and exclusion criteria. Clinical trial studies on mandibular implant overdentures until August, 2010 were selected if more than one type of overdenture attachment was reported. Twenty four studies from 1098 studies were finally included and the data on implant survival rate, prosthetic maintenance and complications, patient satisfaction were analyzed relative to attachment systems. RESULTS. Four studies presented implant survival rates (95.8 - 97.5% for bar, 96.2 - 100% for ball, 91.7% for magnet) according to attachment system. Ten other studies presented an implant survival rate ranging from 93.3% to 100% without respect to the attachment groups. Common prosthetic maintenance and complications were replacement of an assay for magnet attachments, and activation of a matrix or clip for ball or bar attachments. Prosthetic maintenance and complications most commonly occurred in the magnet groups. Conflicting findings were found on the rate of prosthetic maintenance and complications comparing ball and bar attachments. Most studies showed no significant differences in patient satisfaction depending upon attachment systems. CONCLUSION. The implant survival rate of mandibular overdentures seemed to be high regardless attachment systems. The prosthetic maintenance and complications may be influenced by attachment systems. However patient satisfaction may be independent of the attachment system.

Tolerance analysis of Multi-Configurative Microscopic System for Inspecting the Wire-Bonding Status of Semiconductor Chips (반도체 와이어 본딩 검사용 다중배치 현미경 광학계에 대한 공차분석)

  • Ryu, Jae-Myung;Kim, Jae-Bum;Kang, Geon-Mo;Jung, Jin-Ho;Baek, Seung-Sun;Jo, Jae-Heung
    • Korean Journal of Optics and Photonics
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    • v.17 no.2
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    • pp.149-158
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    • 2006
  • We have analyzed various tolerances of the multi-configurative microscopic system for inspecting the wire-bonding of a reed frame by using the Gaussian bracket method and the equivalent lens method. The tolerances for the curvature and the thickness, which are axial symmetric tolerances, are given by varying the back focal length within a fecal depth under diffraction-limited conditions. Moreover, by using the trial and error method, the axial non-symmetric tolerances for decenter and tilt are established by assigning the 5% variation of MTF(modulation transfer function) at the spatial frequency of 50 lp/mm and at the field angle of 0.7 field. As the tolerances with the most probable distribution are distributed within the range of the decay rate of less than 5% independent of the probability distribution of tolerances, we can achieve completely the desired design performances of the multi-configurative microscopic system by using the various ranges of these tolerances.

The Funding system for Shanghai Metro And The Practical Experiences of Utilizing Foreign Funds

  • Zhou Yao Dong
    • Proceedings of the KOR-KST Conference
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    • 1998.09a
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    • pp.185-191
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    • 1998
  • Metro, as a kind of city rail transit, is a modem city passenger transit system with mass transportation and independent special rails. It has become a backbone of the traffic in the metropolis and an important modern symbol of a city. A modem traffic system is indispensable for Shanghai to be an international metropolis of finance, trade and economy. At present, Shanghai metro line No. 1 and its extension have been put into operation, metro line NO. 2 will be put into trial operation by the end of 1999, the Pearl Line, an elevated rail transit system is under construction and other lines will be constructed later according to the plan. But the funding of the city rail transit construction (both metro and light rail) is a big difficult problem to the infrastructure construction of the metropolises either at home or abroad, which is also a problem to restrict the development of the city rail transit of Shanghai. We have learned from the internal and external experiences of the rail transit construction that it is an important means to deal with the funds of the city rail transit construction to actively utilize foreign funds. It makes up the shortage of the internal funds on the one hand, the external advanced science and technology and the management experiences can be introduced on the other hand. In order to discuss and study conveniently with you together the new problems appearing in the metro construction and to open up a new train of thought, this article will give out a certain analysis and description to the funding method in the metro construction of Shanghai and the characteristics of utilizing foreign funds in the rail transit construction as well as the problems which we are faced with.

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Effects of a Tailored Education and Coaching Program to Enhance Care of Cancer-related Pain (맞춤형 암성통증관리 개별교육 및 코칭의 효과)

  • Kim, Hye Jin;Kim, Young Mee;Kim, Hee Jin
    • Journal of muscle and joint health
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    • v.27 no.1
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    • pp.12-21
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    • 2020
  • Purpose: The study was to develop a tailored education and coaching program (TECP) for cancer patients, and to identify the effects of TECP on pain severity, daily living impairment, barriers on pain management, self-efficacy, and pain management satisfaction. Methods: A randomized controlled trial was used. Patients referred to an oncology nurse specialist from oncologists for pain management were randomly assigned to TECP (25) or usual education program (UEP, 22). The intervention was offered by educating the method of taking opioid medication, managing opioid-induced side effects, reducing pain misconceptions and enhancing self-efficacy for communicating with a medical team on cancer pain severity, and pain-related impairment. Patients completed questionnaires before the education program and on the next visit 3~4 weeks later. Data were analyzed by SPSS 19.0 program using percentage, frequency, mean, standard deviation, x2 test and independent t-test. Results: At all levels, pain severity improved significantly in the experimental group-worst pain (8.16 to 3.80, p<.001), average pain (6.16 to 2.52 p=.008), and least pain (3.32 to 0.96, p=.038)-but not in the control group. Pain management satisfaction also showed significant differences (t=2.93, p=.005) between experimental (4.70±0.49) and control (4.17±0.73) groups. Interference with daily living, barriers to managing cancer pain, and self-efficacy for managing pain improved in both groups but there were no significant differences. Conclusion: The findings suggest that TECP should be considered for outpatients who need cancer pain management.