• Title/Summary/Keyword: multifactorial

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Effects of Multifactorial and Follow-up Programs Applying a Capacity Building Strategy: Focusing on Older Adults Living in a Urban-rural Complex Area

  • Han, Song YI;Ko, Young;Kim, Hee Ryang;Kim, Jiyoun
    • Research in Community and Public Health Nursing
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    • v.30 no.2
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    • pp.243-255
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    • 2019
  • Purpose: The purpose of this study is to examine effects of a multifactorial program for preventing the frailty of older adults and effects of a follow-up program applying a capacity building strategy. Methods: A quasi-experimental pretest-posttest design was used for the nonequivalent control group. The follow-up group (n=75) and non-follow-up group (n=68) received the same multifactorial program comprising muscle strength exercise, cognitive training, and psychosocial programs for 12 weeks. After completion of multifactorial program, the follow-up group took follow-up programs applying the capacity building strategy for following 12 weeks. The data of physical function, cognitive function, and psychological function, and self-rated health were collected from both groups three times: before intervention, after intervention, and 12 weeks after intervention. The data were analyzed using $x^2$ test and t-test. Results: In comparison with the non-follow-up group, the scores of Timed Up & Go Test, and physical activities energy expenditure were significantly improved in the follow-up group. Conclusion: These results indicate that a multifactorial program with follow-up adapting the strategies of capacity building for the older adults group is feasible to prevent the physical frailty in community.

Effect of the Multifactorial Program on Urinary Incontinence, Self-esteem and Self-efficacy for Older Women in Rural Communities (다요인적 프로그램이 농촌 지역 여성노인의 요실금, 자아존중감 및 자기효능감에 미치는 효과)

  • Choi, Hyun Kyoung;Yim, Eunshil
    • Journal of Korean Academy of Rural Health Nursing
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    • v.14 no.1
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    • pp.8-16
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    • 2019
  • Purpose: The purpose of this study was to examine the effect of a multifactorial program for urinary incontinence, self-esteem and self-efficacy in older women. Methods: A one-group pretest-posttest with no control group was used. Nineteen women completed weekly 90-min group sessions for eight weeks. The group received a multi-factorial program comprised of Kegel exercise, education and psychosocial programs over 8 weeks. Data on urinary incontinence, self-esteem and self-efficacy were collected twice: before the intervention and 8 weeks after the intervention. Data were analyzed using paired t-test by non-parametric statistics. Results: Total scores for the International Consultation on Incontinence Questionnaire decreased significantly after the intervention (pretest $7.95{\pm}5.48$, posttest $5.15{\pm}4.72$, p<.05). The scores for self-esteem and self-efficacy improved significantly. Conclusion: These results indicate that a multifactorial program for older women is feasible to prevent urinary incontinence in women living in the community.

A Report of Fallot's Tetralogy in Siblings (형제에서 발생한 활로4증)

  • Lee, Sang-Ho;Lee, Yung-Kyoon
    • Journal of Chest Surgery
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    • v.13 no.2
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    • pp.105-109
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    • 1980
  • Tetralogy of Fallot has shown its familial aggregation in several familial studies. This reported case is another example which occurred in a family in two brothers. They revealed no cytogenetic abnormalities, but the anatomical cardiac malformation of them showed much similarity, total conal defect in ventricular septum and .one had patent foramen ovale, the other atrial septal defect. The familial recurrence tendency of Tetralogy of Fallot as well as other congenital heart diseases could be explained on multifactorial inheritance as shown in many reports. In spite that we couldn`t find out any environmental trigger or teratogens, our case may be accepted on the base of multifactorial mechanism.

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Multifactorial Risk Based Prioritization of Foreign Matters in Food (식품이물의 다인자기반 위해평가 및 우선순위 설정)

  • Kim, Hyun Jung;Choi, Sung-Wook;Chun, Hyang Sook
    • Journal of Food Hygiene and Safety
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    • v.28 no.1
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    • pp.83-88
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    • 2013
  • Foreign matters in foods are important food safety issue of consumers, retailers, food manufacturers and food safety authorities in Korea. In order to provide information for development of risk management options and detection technology for foreign matters, multifactorial risk of foreign matters in foods was estimated based on various factors including detection rate, health adverse effect, economic and social aspects. For the each of five food items and foreign matters which were selected from previous study, factors including detection rates, health adverse effects, annual production amounts and willingness to additional pay to reduce foreign matters in foods were quantitatively estimated. The highest risk score was estimated for metal-noodle combination followed by insect-noodle and metal-beverage combinations. The multifactorial risk assessment on foreign matters in food could provide useful information to support risk managers and scientist in complex decision making when various factors should be concerned and different food-foreign matter combinations are compared.

Effects of a Multifactorial Fall Prevention Program on Physical·Psychological Function and Home Environmental Hazards in Community Dwelling Low-income Elderly (다면적 낙상예방프로그램이 지역사회 거주 저소득층 노인의 신체·심리기능과 가정환경 위험요인에 미치는 효과)

  • Kim, So Nam
    • 한국노년학
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    • v.32 no.2
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    • pp.377-395
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    • 2012
  • This study was conducted to develop and evaluate the effectiveness of Multifactorial Fall Prevention Program (MFPP) for local low-income elderly people on physical·psychological, and home environmental hazards, and falling frequency. The selected elderly people was provided the MFPP during an eight-week period of time, once a week, 70 to 90 minutes per each section. The design of this study was non-equivalent control-group with repeated measuring by quasi-experimental study. Data were collected before treatment, 8 week after treatment and 4 week after retention from July to October, 2010. Data were analyzed with numbers, percentage, Fisher's exact test, x2-test, repeated measures ANOVA, ANCOVA and Logistic regression. There were significant differences in fall frequency, balance, fear of falling, fall efficacy, home environmental hazards between the experimental group (EG) and control group (CG). This study showed that the multifactorial fall prevention program(MFPP) was useful nursing intervention for strengthening physical·psychological and environmental functions of the low-income elderly people, as well as preventing fall.

Multifactorial Approaches for Correction of the Drooping Tip of a Long Nose in East Asians

  • Park, Seong Geun;Jeong, Hoijoon;Ye, Choon Ho
    • Archives of Plastic Surgery
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    • v.41 no.6
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    • pp.630-637
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    • 2014
  • A long nose with a drooping tip is a major aesthetic problem. It creates a negative and aged appearance and looks worse when smiling. In order to rectify this problem, the underlying anatomical causes should be understood and corrected simultaneously to optimize surgical outcomes. The causes of a drooping tip of a long nose are generally classified into two mechanisms. Static causes usually result from malposition and incorrect innate shape of the nasal structure: the nasal septum, upper and lower lateral cartilages, and the ligaments in between. The dynamic causes result from the facial expression muscles, the depressor septi nasi muscle, and the levator labii superioris alaeque nasi muscle. The depressor septi nasi depresses the nasal tip and the levator labii superioris alaeque nasi pulls the alar base upwards. Many surgical methods have been introduced, but partial approaches to correct such deformities generally do not satisfy East Asians, making the problem more challenging to surgeons. Typically, East Asians have thick nasal tip soft tissue and skin, and a depressed columella and alar bases. The authors suggest that multifactorial approaches to static and dynamic factors along with ancillary causes should be considered for correcting the drooping tip of the long noses of East Asians.

Congenital Heart Disease in Siblings (형제에서 발생한 선천성 심장질환)

  • Park, Pyowon;Hong, Jang-Su;Suh, Kyung-Pill
    • Journal of Chest Surgery
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    • v.14 no.1
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    • pp.87-90
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    • 1981
  • Genetic and environmental factors are the two areas which have received attention in the etiology of congenital cardiac malformation. Genetic factor in many types of congenital heart disease have not been clearly delineated. Congenital heart diseases are a heterogenous category of developmental anomalies, representing in most cases the multifactorial inheritance of threshold characters, the expression of which is the product of a genetic - environmental interaction. Recently we experienced three pairs of congenital heart disease in siblings including ventricular septal defects in twin.

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