• Proceedings of the Korea Water Resources Association Conference
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• 2008.05a
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• pp.384-388
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• 2008

생활수준이 향상되면서 물의 양과 질에 대한 국민의 요구수준은 높아지고 있으나, 우리의 하천유지유량은 일본의 1/3에 불과하며, 평갈수기의 하천유량 증대가 물관리의 주요 관심사로 떠오르고 있다. 댐 저수지의 저류와 생공용수의 회귀수에 의해 평갈수기의 하천유량을 크게 개선시킬 수 있는 바, 본 연구에서는 수계별로 그 현황과 향후 개선방안 도출을 위해 무수한 하천지점에서 용수수급 현황을 쉽게 분석, 평가할 수 있는 시스템을 개발하였다. 개발된 시스템은 용수수요 추정 모듈, 일 유출 모의 및 하천 유황분석 모듈, 기존댐 저수량 변화 모의 모듈, 신규 댐 규모 모의 모듈 등으로 구성되어 있다(그림 1). 분석 대상 하천 지점 유역의 논 용수, 생활 용수, 공업 용수의 수요량을 일별로 추정할 수 있으며, 이들의 회귀수를 고려한 하천유량을 일별로 모의하여 유황을 분석할 수 있고, 상류에 기존 댐 및 저수지가 있는 경우 이의 저수량을 모의하여 하류 방류량을 고려한 하천유량을 분석할 수 있고, 하천유황이 목표 값에 미치지 못하는 경우 신규 댐 및 저수지를 계획하여 이로부터 유량을 공급받아 하천유황을 유기적으로 아주 쉽게 분석할 수 있도록 하였다. 또한 저수량 변화 모의의 필수 자료인 저수지 표고별 저수면적, 저수량 자료를 신속하게 수집, 정리할 수 있도록 DEM을 활용하는 모듈을 장착하였다(그림 2). 수계별로 수많은 하천 지점의 유지유량 확보를 위한 다양한 용수공급 시나리오를 신속하게 분석, 평가하는데 편리한 도구로 활용할 수 있을 것이다. 개발된 시스템은 금강 유역의 하천유지유량 확보 방안 수립에 활용하고 있으며, 향후 전 수계에 적용될 수 있도록 보완할 것이다.

• Journal of Hospice and Palliative Care
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• v.18 no.2
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• pp.136-147
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• 2015

Purpose: This study was conducted to evaluate the effects of integrated palliative care intervention on quality of life in terminally ill patients. Methods: A comprehensive literature search was performed via PubMed, Cochrane Library CENTRAL, LWW (Ovid), CINAHL and several Korean databases. The main search strategy was to combine terms indicating palliative care intervention, presence of terminal illness and study design. Methodological quality was assessed using Cochrane's Risk of Bias for randomized studies and Risk of Bias Assessment tool for non-randomized studies. Data were analyzed by the Stata 10 program. Results: Eight clinical trials met the inclusion criteria with a total of 356 participants. Integrated palliative care interventions were administered for a mean of 6.5 weeks, 5.6 sessions and an average of 47.8 minutes per session. Effect sizes were heterogeneous, and subgroup analysis was done. Integrated palliative care interventions had a significant effect on quality of life (ES=1.83, P=0.018, $l^2=92%$), spiritual well-being (ES=0.78, P=0.040, $l^2=0$), depression (ES=0.86, P<0.001, $l^2=32$) and anxiety (ES=0.69, P=0.041, $l^2=71.1$). But integrated palliative care interventions had no significant effect on pain (ES=0.365, P=0.230, $l^2=69.8$). Conclusion: Results support findings that integrated palliative care interventions were helpful in lessening depression and anxiety and improving quality of life and spiritual well-being, however, the interventions did not assist pain management in terminal cancer patients. These findings suggest that various integrated palliative care interventions can assist terminal cancer patients with better quality of life in the socio-psycho-spiritual dimension.

• Journal of Society of Occupational Therapy for the Aged and Dementia
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• v.12 no.2
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• pp.97-106
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• 2018

Objective : The purpose of this study was to investigate the effects of reminiscence therapy using mind map to improve cognitive function, depression index, quality of life for old woman with dementia. Method : The study were 14 patients who were diagnosed with a woman suspected of dementia. They were randomly assigned to Study group(N=7) and control group(N=7). All patients received only to Study groups. reminiscence therapy using mind map was composed to 10 sessions, 40 minutes per sessions, 2 times a week, for 5 weeks. For result analysis, descriptive statistic, Wilcoxon signed rank test, and Mann-Whitney U test were used. The evaluation tools were Mini-Mental State Examination Korean Version (MMSE-K), Korean Version of Beck Depression Inventory (K-BDI), Korean Version of the World Health Organization Quality of Life Scale Abbreviated Version (WHOQOL-BREF). Result : There was a significant difference in cognitive function, depression index, and quality of life in the within group after intervention, and there was a significant difference in cognitive function in the between group comparison. Conclusion : According to the results of study, an easing effect was confirmed regarding reminiscence therapy using mind map for an old woman with dementia. using reminiscence therapy using mind map when applied to the improvement of cognitive function, depression index, quality of life.

• Tunnel and Underground Space
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• v.26 no.4
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• pp.274-282
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• 2016

Natural ventilation is employed in limestone mines that have been currently operated in Korea, and there has been a growing issue of a significantly weak airflow caused by the large-scale excavation. Thus, the air quality in the working area is considerably poor. In order to improve this circumstance, it is mainly required to examine ventilation performance. In this study, the examination of ventilation efficiency was conducted by using tracer gas method. The result of this work indicated detailedly the ventilation problems in research mine, in that extremely low air velocity, recirculation, and air change rate were evaluated quantitatively using tracer gas. Therefore the ventilation performance evaluation using tracer gas can be opted as a precise method to improve the working area in mines.

• Proceedings of the Korea Water Resources Association Conference
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• 2005.05b
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• pp.1430-1434
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• 2005

금강 유역과 같이 복잡한 하천유역 시스템의 관리를 위해서는 시스템 요소들을 통합적으로 분석할 수 있는 효과적인 의사결정지원 도구가 필요하다. K-MODSIM 모형은 단기 물관리, 장기 운영계획, 가뭄 대비계획 및 물관련 분쟁 해결을 위해 보다 개선된 유역관리 전략을 수립하기 위한 컴퓨터 기반 도구로 개발되었으며, 본 연구에서는 K-MODSIM 모형에 저수지 운영률을 반영하여 유역의 용수배분을 평가하였다. 유역 저수지군 운영 환경 및 제약조건을 반영한 네트워크를 구성한 후, 두 단계의 모형 검정을 수행하였다. 먼저 물리적 검정을 통해서 전체 대상 수계의 상하류 물수지를 검토하고, 다음 단계인 운영 측면의 검정에서 물리적으로 나타나는 상황이 댐 운영이나 제약 조건 등에 부합하는지의 여부를 검토하였다. 대청댐과 용담댐의 통합 운영을 위한 최적 운영률의 개발은 동적계획법 소프트웨어인 CSUDP를 이용하여 수행하였으며, 여기서 사유한 접근법은 음해 추계학적 동적계획법이다. 이 접근방법은 유입량 시계열을 추계학적으로 모의발생시키고, CSUDP 모형은 모의발생시킨 유입량 시계열에 대한 최적운영률을 찾기 위해 사용하며, CSUDP의 최적화 결과에 대한 통계적인 분석을 통해 월단위 운영률을 도출하였다. K-MODSIM 모형에 저수지 운영률을 반영하여 유역의 용수배분을 평가하였다. 유역 저수지군 운영 환경 및 제약조건을 반영한 네트워크를 구성하고, 대청댐과 용담댐의 통합 운영을 위한 최적연계 운영를을 개발하여 다음과 같은 운영 시나리오들을 개발하고 평가하였다. $\cdot$ 금강수계에 대한 용당댐의 영향 평가 $\cdot$ 댐 연계운영시 수요량 변화에 따른 영향 평가 $\cdot$ 하도추적을 고려한 일별모형의 검증 개발된 운영률과 하도추적방법을 K-MODSIM 모형에서 검증하기 위해서 vb.net 스크립트 파일을 개발하여 적용하였다.L이하로 이를 유등천 상류부에 공급할 경우 유등천의 수질은 BOD 6.7mg/L, TN 9.80mg/L, TP 0.90mg/L를 나타낼 것으로 예측된다. 고도처리시설의 도입 후 금강 합류점에서 갑천의 예측 BOD는 7.4mg/L로 현재 9.0mg/L에 비하여 개선되지만 이는 금강수계 오염총량 관리계획의 시$\cdot$도 경계지점 목표수질인 5.9mg/L를 만족시키지 못하므로, 이를 만족시키기 위해서는 방류수 BOD 7.2mg/L이하로 처리해야 할 것으로 판단된다.which support only concepts or image features.방하는 것이 선계기준에 적합한 것으로 나타났다. 밸브 개폐에 따른 수압 변화를 모의한 결과 밸브 개폐도를 적절히 유지하여 필요수량의 확보 및 누수방지대책에 활용할 수 있을 것으로 판단된다.8R(mm)(r^2=0.84)$로 지수적으로 증가하는 경향을 나타내었다. 유거수량은 토성별로 양토를 1.0으로 기준할 때 사양토가 0.86으로 가장 작았고, 식양토 1.09, 식토 1.15로 평가되어 침투수에 비해 토성별 차이가 크게 나타났다. 이는 토성이 세립질일 수록 유거수의 저항이 작기 때문으로 생각된다. 경사에 따라서는 경사도가 증가할수록 증가하였으며 $10\% 경사일 때를 기준으로 $Ro(mm)=Ro_{10}{\times}0.797{\times}e^{-0.021s(\%)}$로 나타났다.천성 승모판 폐쇄 부전등을 초래하는 심각한 선천성 심질환이다. 그러나 진단 즉시 직접 좌관상동맥-대동맥 이식술로 수술적 교정을 해줌으로써 좋은 성적을 기대할 수 있음을 보여주었다.특히 교사들이 중요하게 인식하는 해방적 행동에 대한 목표를 강조하여 적용할 필요가 있음을 시사하고 있다.교하여 유의한 차이가 관찰되지 않았다. 또한 HSP 환자군에서도 $IL1RN^{*}2$ allele 빈도와

• 한국노년학
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• v.32 no.4
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• pp.1101-1118
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• 2012

The purpose of this study is to examine which factors determine self-rated health(SRH) among Korean elderly focusing on gender differences. To achieve this purpose, it uses the Hallym Longitudinal Study of Aging, wave 4 in 2009. Participants aged 65 and over from wave 4 were selected(N=986, male 407, female 579). From wave 4, all variables were selected except for respondents' education which was from wave1. In analyses, $x^2$ or t-test were conducted to examine whether independent variables significantly differ by SRH. Then, since a dependent variable consisted of two categories-being healthy or not being healthy, logistic regressions were run. What makes gender differences in the link of independent variables to SRH were 75-84 age group, education, and IADLs. For females, 75-84 age group rated their health as worse compared to 65-74 age group, but this age group did not have significant effect on SRH for males. Females graduating from junior high school were more likely to higher rate their health compared to their counterparts. However, education was not significant for males. Instrumental activities of daily living(IADLs) is one of variables affecting SRH by making gender differences. Female having problems with IADLs were more likely to be significantly negatively rate their health compared to males. Through focusing on age, education, IADLs making gender difference in evaluating health, governments needs to support males and females differently.

• Journal of Korean Academy of Nursing Administration
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• v.2 no.1
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• pp.57-72
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• 1996

Provision of better nursing care to patients is a difficult but important task. The first problem for nursing quality improvement is development of evaluation tool for the quality of nursing care. This study tries to develop a patient care tool for patients with chronic renal failure. This study as a procedural evaluation of patient care, tries to show what, how, at what order to provide care to patients with chronic renal failure. This study is divided into process of development of tool, its reliability and validity. Among process of development of tool is focal group, small expert group and expert evaluation group. To develop approprieteness of tool, nurses working is four major hospitals is Seoul were selected. To evaluate the credibility of subjects, 19 patient who were hospitalized and discharged within 3 months were selected. The period for collecting data for reliability and valiability evaluation was between Sept. 20 to Oct. 18, 1995. The development process of this study is as follows ; 1. Make preliminary list of the tool by focal group consisting of 8 clinical nurses. 2. Modify and add preliminary list by 4 expert nursing panel. 3. Calculate content validity of the tool by 23 nursing expert panel of judge. 4. Verity relability and validity of the tool. 5. Finalize an evaluation tool for the quality of nursing care in chronic renal failure patient. The result of this study were as follows ; 1. Development of evaluation tool for the quality of nursing care in chronic renal failure. 1) The evaluation of this study was developed 5 standards, 28 criteria. and 130 indicators 2) Nursing care evaluation scores for chronic renal failure patients were average 68.8. 2. Verity reliability and validity of the tool. 1) 5 standards were divided into 4 point scale and according to 28 creteria, indicators of standard were 3.72 and of criteria were 3.77 2) Inter - rater reliability (consentaneity score) of the tool by pearson correlation coefficient betwwen rates were r= .72, r= .75 and interreliabilities by single - facet crossed design were r= .96. 3) The alpha coeffecient relating to internal consistency was .7259 over 27 items of 28 criterias of developed tool. Through this study, I'm sure that the developed tool for the quality of patient care in chronic-renal failure patient will show the way of more improvement of the quality of nursing care and effective nursing intervention.

• Korean Journal of Occupational Therapy
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• v.26 no.4
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• pp.13-26
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• 2018

Objective : The aim of the study was to investigate the application of nonpharmacological cognitive interventions in patients with dementia. Methods : We searched published studies in KISS, PubMed, and Sciencedirect databases from January 2013 to December 2017. The main keywords used were "Dementia" AND "Cognitive stimulation OR Cognitive rehabilitation OR Cognitive training" and a total of ten studies were selected for analysis from 753 searched articles. Results : Seven of the ten selected studies showed significant improvements in cognitive function after intervention, whereas three studies showed no improvement in cognitive function; however, activation of brain waves, improvement in the relationship between care givers and patients, improvement in the quality of life of care givers, and improvements in visual motor skills were shown. Mini-Mental State Examination(MMSE) was used as the assessment tool for identifying the effects of the cognitive function improvement, and in four studies the quality of life of dementia patients was measured as an intervention effect. The main subject of the cognitive intervention is patients with mild to moderate dementia. Conclusion : The results of this study can be used as a basis for the selection of intervention methods, as well as their duration and assessment, according to the characteristics of dementia patients.

• Journal of Acupuncture Research
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• v.22 no.3
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• pp.271-280
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• 2005

Objective : The aim of this study is to evaluate internal reliability and correlation among assessment instruments of knee OA. Methods : Data were obtained from 85 patients with knee OA. They were asked to answer VAS pain scale, two disease-specific questionnaires (WOMAC and LFI) and one instrument about health-related quality(KHAQ). Reliability was assessed using cronbach`s alpha. Correlation was assessed by examining the pearson`s correlation coefficients. Results : Cronbach`s alpha of all Index except WOMAC stiffness subscale.(6679) exceeded the value of 0.70. A good correlation was obtained between WOMAC Subscales (especially Pain Subscale) and LFI (.726

• 재활복지
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• v.20 no.4
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• pp.107-134
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• 2016

The primary purpose of this study is to develop a quality of life scale for adults with developmental disabilities and to test its validity and reliability. For this purpose, the authors generated a initial item pool composed of 62 items based on the conceptual model of Felce and Perry (1995). The initial items were evaluated by three reviewers, and then the items were revised based on their feedbacks. Utilizing a survey questionnaire including the scale items, data on 430 adults with developmental disabilities were collected in collaboration with 33 social welfare agencies and residential facilities for people with disabilities. Through descriptive analysis, correlation analysis, and relevant theories, the qualities of each item were examined, and then the best 20 items were selected. Cronbach's ${\alpha}$ for the final scale was .87. The results of confirmatory factor analysis showed that the 5-factor model fitted the data reasonably well, In addition, criterion validity of each subfactor of the scale was successfully established, employing t-test, one-way ANOVA, and correlation analysis. In discussion, implications and limitations of this study were examined.