• Title/Summary/Keyword: 임상수행능력평가

Search Result 113, Processing Time 0.025 seconds

Cross-cultural Adaptation and Psychometric Evaluation of the Korean Version of the A-ONE (한국판 일상생활활동중심 작업기반 신경행동평가(A-ONE)의 개발 및 평가)

  • Kang, Jaewon;Park, Hae Yean;Kim, Jung-Ran;Park, Ji-Hyuk
    • Therapeutic Science for Rehabilitation
    • /
    • v.10 no.2
    • /
    • pp.109-128
    • /
    • 2021
  • Objective : The purpose of this study was to develop a Korean version of the Activities of Daily Living (ADL)-focused Occupation-Based Neurobehavioral Evaluation (A-ONE) through cross-cultural adaptation and examine its validity and reliability. Methods : This study translated the A-ONE into Korean and performed cross-cultural adaptation for the Korean population. After the development of the Korean version of the A-ONE, cross-cultural and concurrent validities were analyzed. Internal consistency, test-retest reliability, and inter-rater reliability were also evaluated. Results : We adapted three items to the Korean culture. The Korean version of the A-ONE showed high cross-cultural validity with a content validity index (I-CVI) >0.9. It correlated with the Functional Independence Measure (FIM) (r=0.52-0.77, p<0.001), except for communication. Cronbach's α was 0.58-0.93 for the functional independence scale (FI) and 0.42-0.93 for the neurobehavioral specific impairment subscale (NBSIS). Intraclass correlation coefficients (ICCs) indicated high test-retest and inter-rater reliability for FI (ICC=0.79-1.00 and 0.75-1.00, respectively) and NBSIS (ICC=0.74-1.00 and 0.72-1.00, respectively). Conclusion : The Korean version of the A-ONE is well adapted to the Korean culture and has good validity and reliability. It is recommended to evaluate ADL performance skills and neurobehavioral impairments simultaneously in Korea.

Evaluation of the Cardiorespiratory Endurance of Jeju Crossbred Horses according to Exercise Intensity (제주산마의 운동강도별 심폐지구력 측정)

  • Kim, Nam-Young;Park, Yong-Sang;Ko, Moon-Suck;Chae, Hyun-Seok;Cho, Won-Mo;Cho, In-Chul;Hong, Hyun-Ju;Park, Ji-Yun;Cho, Sang-Rae;Kang, Tae-Young
    • Journal of Veterinary Clinics
    • /
    • v.30 no.6
    • /
    • pp.449-452
    • /
    • 2013
  • The present study was conducted to measure the cardiorespiratory endurance of Jeju crossbred horses according to hill tests and exercise intensity, thereby providing foundational data for evaluation of running capability of horses. The nine Jeju crossbred horses were subjected to the hill test with an inclination of around $30^{\circ}$ and six out of nine horses were used to measure the cardiorespiratory endurance according to three different exercise intensities (moderate, heavy, and very heavy). The running time for the hill test was 205 sec on average, while high deviation was observed between horses from 167 to 258 sec. In addition, the running time for the hill test was highly correlated with moderate exercise. While no significant difference in average heart rate was found between exercise intensities, a trend of large variation was found in the average heart rate between horses. The heart rate recovery was highly correlated with heavy exercise and very heavy exercise. The results showed that no significant difference in average heart rate was found among three exercise intensities, but there are large individual variations among horses.

A Preliminary Study on Development and Evaluation of Home Health Care Nurse Clinical Practice Program -Focused on Postoperative Orthopedic Patients- (가정간호사 임상실무 훈련프로그램 개발과 평가를 위한 사전 연구 -정형외과 수술 환자를 중심으로-)

  • 서영숙
    • Journal of Korean Academy of Nursing
    • /
    • v.26 no.1
    • /
    • pp.15-32
    • /
    • 1996
  • The clinical practice program for home care nurses was implemented in June 1994, to help to set up a hospital-based home care system in the Kwangju City area as a collaborative work between the Department of Orthopedic Surgery at Chunnam University Hospital and Chunnam University School of Nursing. Under the developed clinical practice strategy, the eight week training was given to five licensed home care nurses who had completed Part I and II of the home health care nursing practicum from June 1994. The purpose of this descriptive evaluation study was to identify the effectiveness of the clinical practice program for home care nurses specialized in the area of patient care for people with musculoskeletal function impairment. As a method in data analysis, data triangulation was used in the five home care nurse case evaluations. The variety of data analyzed include confidence score by home care nurse self-evaluation, patient and family member satisfaction scores, and competency score by preceptor evaluation. The study findings revealed that an increase rate in nursing performance didrate necessarily coincide with an increase not in competency score and also, not with the patient /family member satisfaction scores. And an order derived from the clinical performance scores of five home care nurses corresponded to those from three measurements-competency score, patient satisfaction score, and family member satisfaction score. However, it differed from the order associated with the confidence score. Consistency derived from the three objective evaluation methods may lead to the possibility that the level of competency measured by educator can be further explained by the levels of patient/family member satisfaction. The salient finding of this study was that, in case of nurse A who have had little clinical experience in the orthopedic patient care, there was a significant increase in the level of confidence and competency in subscale of professional skill with the home care clinical practice. Therefore, the effect of the clinical practice program would be successful for nurses who have had little experience in the area of specialization. The study results suggest that there might be some time difference in the development of cognitive sense (confidence) in performance and actual clinical performance (competency). In future research, relationships between the confidence and competency score, and between the confidence score and the patient satisfaction score should to be measured in different time frame to achieve a better explanation power of the study outcome.

  • PDF

A Study for the Improvement Subjects of the Korean Dental Hygienists' Licensing Examination (치과위생사 국가시험 개선을 위한 조사연구)

  • Kim, Sook-Hyang;Jang, Jong-Hwa;Oh, Sang-Hwan
    • Journal of dental hygiene science
    • /
    • v.9 no.3
    • /
    • pp.353-360
    • /
    • 2009
  • The purpose of this study was to investigate the recognition for improvement of the Korean Dental Hygienists' Licensing Examination(KDHLE). The subjects were 1,048 dental hygienists were surveyed. either in person or through mail. Data was collected using a self administrated questionnaire from July 1 to July 20, 2008. The data were analysed with frequency and $x^2$-test using the SPSS 15.0 windows. For the inquiry where adequacy of subjects of the KDHLE regarding to evaluation of standard duty achievement ability in the real field was asked, 404(39.5%) answered 'Yes', and 680(66.9%) was answered 'Yes' for necessity of changing current subjects of the KDHLE. For the inquiry about the number of questions in the KDHLE, 353(34.6%) answered that current number of questions is 'Inappropriate' and advisable way of improving KDHLE subjects, 463 (45.4%) answered 'enhancing problem solving ability through unifying subjects', the highest of all. About practical examination methods, 647(67.3%) was answered 'Should be modified'. For methods of dental hygienist practical examination, 'clinical demonstration on patients' received the highest number of votes 628(63.6%). According to the above results, most of active dental hygienists at presence expect the alteration of current KDHLE and new items which are reliable for globalization by testing problem solving ability through unified subjects must be introduced.

  • PDF

Evaluation of Reliability about Short TAT (Turn-Around Time) of Domestic Automation Equipment (Gamma Pro) (국산 자동화 장비(Gamma Pro)의 결과보고시간 단축에 대한 유용성 평가)

  • Oh, Yun-Jeong;Kim, Ji-Young;Seok, Jae-Dong
    • The Korean Journal of Nuclear Medicine Technology
    • /
    • v.14 no.2
    • /
    • pp.197-202
    • /
    • 2010
  • Purpose: Recently, many hospitals have been tried to increase the satisfaction of the outpatients through blood-gathering, exam, result notice and process in a day. Each laboratory has been used the automatic equipment for the rapid requests of the result notice and the increase of the reliability and efficiency. Current automatic equipments that have been limited short TAT(Turn-Around Time)because of the restricted batch lists and 1 tip-5 detectors. The Gamma Pro which is made in Korea to improve the shortcomings of existing automation equipment, complemented with capacity to perform a wide range of domestic automation equipment. In this study, we evaluated the usefulness and reliability of short TAT by comparing Gamma Pro with current automatic equipment. Materials and Methods: We studied the correlation between Gamma Pro and RIA-mat 280 using the respective 100 specimens of low or high density to the patients who were requested the thyroid hormone test (Total T3, TSH and Free T4) in Samsung Medical Center Sep. 2009. To evaluate the split-level Gamma Pro, First, we measured accuracy and carry over on the tips. Second, the condition of optimal incubation was measured by the RPM (Revolution Per Minute) and revolution axis diameter on the incubator. For the analysis for the speed of the specimen-processing, TAT was investigated with the results in a certain time. Result: The correlation coefficients (R2) between the Gamma Pro and RIA-mat 280 showed a good correlation as T3 (0.98), TSH (0.99), FT4 (0.92). The coefficient of variation (C.V) and accuracy was 0.38 % and 98.3 % at tip 1 and 0.39 % and 98.6 % at tip 2. Carry over showed 0.80 % and 1.04% at tip 1 and tip 2, respectively. These results indicate that tips had no effect on carry over contamination. At the incubator condition, we found that the optimal condition was 1.0mm of diameter at 600RPM in 1.0mm and 1.5mm of at 500RPM or 1.0mm and 1.5 mm of diameter at 600 RPM. the Gamma Pro showed that the number of exam times were increased as maximum 20 times/day comparing to 6 times/day by current automatic equipment. These results also led to the short TAT from 4.20 hour to 2.19 hours in whole processing. Conclusion: The correlation of between the Gamma Pro and RIA-mat 280 was good and has not carry over contamination in tips. The domestic automation equipment (Gamma Pro) decreases the TAT in whole test comparing to RIA-280. These results demonstrate that Gamma Pro has a good efficiency, reliability and practical usefulness, which may contribute to the excellent skill to process the large scale specimens.

  • PDF

Evaluation of HbA1c Levels Via the Latex Immunoturbidimetric Method by Using Chemistry Autoanalyzer (자동화학분석기에서의 라텍스 면역비탁법의 Autolab HbA1c 평가)

  • Jo, Yongjun;Lee, So-young;Park, Hae-il;Kim, YeongSic;Lee, Jehoon;Kim, Yonggoo;Han, Kyungja
    • Laboratory Medicine Online
    • /
    • v.2 no.1
    • /
    • pp.10-14
    • /
    • 2012
  • Background: Measurement of HbA1c levels is widely used to diagnose diabetes mellitus and to evaluate and monitor plasma-glucose concentrations over 6-8 weeks. In this study, we evaluated the diagnostic performance of the newly developed latex immunoturbidimetric method by using Autolab HbA1c. Methods: We analyzed and compared the diagnostic performance of Autolab HbA1c with that of Toshiba 200FR between April 2009 and July 2009. According to guidelines (EP5-A2, EP6-P, EP9-A2) of the clinical and laboratory standards institute (CLSI), we compared linearity, precision and correlation of Autolab HbA1c with those of G7 (Tosoh Corp., Kyoto, Japan) by using high-performance liquid chromatography (HPLC) method. Results: Data obtained using Autolab HbA1c showed good linearity in mixtures of samples with low (3.1%) and high (15.1%) levels of HbA1c (r2=0.9997). In the analysis of within-run precision of the samples with HbA1c levels of 5.1% and 12.1%, the SDs were 0.04 and 0.06 and covariances of these samples were 0.8% and 0.5%, respectively. In the Deming regression model, the regression equation was as follows: Autolab HbA1c=1.0859×Tosoh HPLC-0.6957. Conclusions: In this study, Autolab HbA1c method showed better performance characteristics than Tosoh G7 did. In reference review, there was no interference of variant hemoglobin. The data acquisition time of Autolab HbA1c was lower than that of Tosoh G7. The advantages of Autolab HbA1c are that it can be used as an autoanlyzer in routine chemical analysis, it does not require pre-analytical treatment, and the samples are automatically treated with distilled water for hemolysis.

Development Of Virtual Reality System For The Training And Assessment Of Proprioception During Upper-limb Reaching Task: A Pilot Study (상지재활 훈련동안 자기수용감각의 훈련 및 평가를 위한 가상현실 시스템 개발: 예비연구)

  • Cho, Sang-Woo;Ku, Jeong-Hun;Han, Ki-Wan;Lee, Hyeong-Rae;Park, Jin-Sick;Lee, Won-Ho;Shin, Young-Seok;Kim, Hong-Joon;Kang, Youn-Joo;Kim, In-Young;Kim, Sun-I.
    • 한국HCI학회:학술대회논문집
    • /
    • 2008.02a
    • /
    • pp.749-753
    • /
    • 2008
  • Proprioception defined it as the ability to detect, the spatial position or movement of joints using balance, power of the muscle, agility in the internal parts of the body. In existing study for improvement of proprioception, reaching task training provided a feedback; the assessment was not provided a feedback. But, this has problem that it can not guide a proprioception from situation with visual feedback. Virtual reality technique can solve the problem of way providing feedback during training. In this study, we developed proprioception training program using virtual reality and pilot study is performed. VR task were composed three modes. In mode 1, real-time movement of the body was provided using visual feedback. In mode 2, body position was provided using visual feedback when participant have specific response. And in mode 3, body position was not provided. VR task is performed five sessions at each mode and one session performed one by one a three target. In the result of this study, the moving time toward the target from mode 3 was smaller than the moving time toward the target from mode 1 (p= 0.001). The correlation was statistically significant between mode 2 and mode 3 while be offering visual feedback position of mode 2 1session. But, the correlation was not statistically significant between mode 2 and mode 3 after be offered visual feedback position of mode2 1session (p = 0.012). Training environment of mode 1 shows which training used visual feedback than proprioception. Mode2 can execute training of proprioception because first session acquires visual feedback by proprioception. The next study will be verification of the system for training or assessment by clinical experiment.

  • PDF

Estimation of Forest Biomass for Muju County using Biomass Conversion Table and Remote Sensing Data (산림 바이오매스 변환표와 위성영상을 이용한 무주군의 산림 바이오매스추정)

  • Chung, Sang Young;Yim, Jong Su;Cho, Hyun Kook;Jeong, Jin Hyun;Kim, Sung Ho;Shin, Man Yong
    • Journal of Korean Society of Forest Science
    • /
    • v.98 no.4
    • /
    • pp.409-416
    • /
    • 2009
  • Forest biomass estimation is essential for greenhouse gas inventories and terrestrial carbon accounting. Remote sensing allows for estimating forest biomass over a large area. This study was conducted to estimate forest biomass and to produce a forest biomass map for Muju county using forest biomass conversion table developed by field plot data from the 5th National Forest Inventory and Landsat TM-5. Correlation analysis was carried out to select suitable independent variables for developing regression models. It was resulted that the height class, crown closure density, and age class were highly correlated with forest biomass. Six regression models were used with the combination of these three stand variables and verified by validation statistics such as root mean square error (RMSE) and mean bias. It was found that a regression model with crown closure density and height class (Model V) was better than others for estimating forest biomass. A biomass conversion table by model V was produced and then used for estimating forest biomass in the study site. The total forest biomass of the Muju county was estimated about 8.8 million ton, or 128.3 ton/ha by the conversion table.

전자부품의 냉각을 위한 자연대류 상관 관계식의 평가

  • 이재헌
    • Journal of the KSME
    • /
    • v.27 no.6
    • /
    • pp.504-514
    • /
    • 1987
  • 복잡한 전자부품의 조립시에 필요한 열적 디자인에 관한 정보는 오래전부터 실험을 통하여 얻어지고 있다. 실험적 데이터를 이용하여 무차원 파라미터로 표시된 실험결과는 꼭 같지는 않지만 현상적으로는 비슷한 상황에 응용될 수 있다. 여기서는 학술문헌에 나타나 있는 자연대류에 관한 실험적인 상관관계식들과 프레임에 수직으로 꽂혀있는 균일가열 전자회로기판의 모델에서 얻어진 무차원 자료들을 비교하고자 한다. 대부분의 자료들은 수정채널 Rayleigh수(Ra")가 15~100범위에 속하며, 이러한 범위는 부품이 조밀하게 배치된 기관이 서로 좁은 채널을 이루고 있으며, 동시에 상당한 전력을 소비하고 있는 경우에 해당한다. Wirt와 Stutzman, Bar-Cohen과 Rohsenow의 일반상관관계식은 AT'||'&'||'T Bell 연구소에서 개발된 전자기기를 이용하여 수집한 실험데이터를 잘 표현하고 있으며 10 < Ra" <1,000범위에서 추천될 수 있다. 두개의 유사한 상관관계식과 비교할 때 상당히 좋은 예측을 보였으며 또한 Sparrow와 Gregg의 연구결과와도 잘 일치하므로 Ra" < 10인 경우에 Aung의 완전발달층류의 채널유동방식, Ra" > 1,000인 경우에는 Aung등의 단일 수직평판 근사식이 추천될 수 있다. Coyne의 알고리즘에 의한 계산치는 10

  • PDF

Development of Pre-assessment Indicator for Skin Aging and Anti-aging Effect of Inner Skin by the Cream Product Containing Gynostemma pentaphyllum Gypenoside Fraction (피부 노화의 선평가 지표 개발 및 그에 따른 칠엽담 지페노사이드 분획물 함유 크림의 피부 내부 노화 개선 효과)

  • Kim, Ju Yeon;Kim, Jung Yun;Choi, Chi Ho;Lim, Joo Hyuck;Choo, Min Joo;Moon, Sung Ho;Chang, Shin Jae
    • Journal of the Society of Cosmetic Scientists of Korea
    • /
    • v.42 no.3
    • /
    • pp.303-309
    • /
    • 2016
  • The human skins had a lot of changes as aging. The synthesis of collagens and elastic fibers were reduced and the expression of matrix metalloproteinase (MMPs) was increased in the dermis. These changes have been known to be responsible for skin wrinkle formation. In this study, we tried to develop pre-indicator of inner skin aging, and investigated the effect of the cream product containing Gynostemma pentaphyllum gypenoside fraction (Gynostemma pentaphyllum gypenoside cream). 21 ~ 34 years old 52 Korean female volunteers without crow's feet were chosen for this clinical study. The starting point of inner skin aging was confirmed through dermal density measurement, even though outside skin wrinkles were not observed. In addition, 4 and 8 weeks treatment of G. pentaphyllum gypenoside cream significantly increased age-related reduction of dermal density. These results suggest that the evaluation of dermal density can be used as pre-indicator of skin aging. Furthermore, G. pentaphyllum gypenoside fraction is a potential anti-wrinkle agent for prevention and treatment of skin aging.