• Journal of Hospice and Palliative Care
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• v.11 no.4
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• pp.175-180
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• 2008

진행된 암환자에서 피로는 70% 이상이 경험하게 되는 흔한 증상이며 삶의 질을 저하시키는 주된 요인이다. 피로에 대한 선별검사는 "피곤하거나 지친감이 있나요?"라는 단순한 질문으로 가능하며 이미 개발된 평가도구를 사용하여 평가할 수 있다. 동반 질환이나 피로의 원인을 알기 위한 병력청취와 검사실 검사가 필요할 수 있으며 결과에 따라 가역적 인자를 치료하는 과정이 우선되어야 한다. 적절한 약물치료를 시행하여 증상을 호전시킬 수 있으며 이중 methylphenidate는 암 연관 피로를 호전시키고 마약성 진통제에 의한 진정에 효과가 입증되었다. 환자의 여명에 따라 부신 피질 호르몬제도 사용할 수 있고, 운동 및 환자의 교육과 영양관리 또한 중요하다.

• Journal of agricultural medicine and community health
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• v.42 no.1
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• pp.24-35
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• 2017

Objectives: This study aimed to evaluate the primary care quality of a public health center in a rural area using the Korean Primary Care Assessment Tool (KPCAT). It also examined some methodological issues in applying the KPCAT and interpreting its results. Methods: Seventy-nine patients who had visited their doctor more than four times responded to the KPCAT questionnaire. Descriptive statistics and a radar chart were used in analyzing data. Sign test was used to test the KPCAT score difference by don't know option scoring methods. Results: Median and interquartile range of the public health center's KPCAT scores were forty-five and sixteen points, respectively. Only the median of the first contact domain reached the expected value of seventy-five points. The proportions of those who scored under the expected value were under fifty percent in two of four comprehensiveness items, all of three coordinating function items, two of five personalized items and all of four family/community orientation items. There were some methodological issues including, how to score don't know option and make sure response scale consistency. Conclusions: There was much room to improve the primary care quality of the rural public health center. Especially, improvement is needed in the domain of coordinating function and family/community orientation. We also hope that methodological improvement of the KPCAT contributes to more valid and reliable primary care assessment.

• Journal of Environmental Impact Assessment
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• v.7 no.2
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• pp.65-70
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• 1998

An integrated EIA tool was developed to analyze present and future environmental quality status of Youngwol Basin using ArcView and FEMWASP. All the input data and computational results were prepared and graphically displayed on the basis of ArcView. FEMWASP and ArcView were integrated using the command "system.execute" in script of Avenue. Modeling items were inserted in the GUI of ArcView. The modeling result showed that the water quality of the proposed Yougwol Lake would be at the stage of eutrophication. The developed system can be applied to the water quality management of drinking water resources to set up the regulatory acts and project plan of governmental policy.

• 한국노년학
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• v.31 no.4
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• pp.871-884
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• 2011

Standard Long-term care(LTC) Utilization Plan is a kind of care plan, which aims to help beneficiaries and their family choose services to meet their care needs. The objective of this study is to determine the relationships among family caregivers' perceived quality, overall satisfaction and utilization in Standard LTC Utilization Plan. Data were gathered from family caregivers with beneficiaries who have used community service in long-term care insurance system. A national cross-sectional descriptive survey was conducted in December 2008, using proportionate quota sampling. Finally, 351 family caregivers completed questionnaires which included demographic characteristics, perceived quality(9 items), overall satisfaction(1 item) and utilization(2 items). Path analysis was conducted to find a causal relationship. This study shows firstly, the quality of Standard LTC Utilization Plan was categorized into three dimensions, that is, assessment of care needs, recommended care plan, and management of monthly benefits. Secondly, reliability and validity of quality items were satisfied. Finally, in the effect of perceived quality and satisfaction for utilization, assessment of care needs(indirect effect, path coefficients=0.077) and overall satisfaction(total effect, path coefficients=0.324) were statistically significant. The findings of this study would be helpful in developing the strategies, which is needed to improve the role of Standard LTC Utilization Plan.

• Journal of Korean Academy of Nursing
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• v.46 no.5
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• pp.675-686
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• 2016

Purpose: The purpose of this study was to develop an Allergic Rhinitis-Specific Quality of Life (ARSQOL) scale and verify its validity and reliability. Methods: ARSQOL was developed in 5 steps. Items for the preliminary instrument of ARSQOL were developed through a literature review and deep interviews with allergic rhinitis patients. Face validity with Content Validity Index (CVI), construct validity using factor analysis, and known group comparison, criterion validity test using correlation between ARSQOL and total nasal symptoms score (TNSS) were conducted to evaluate the validity of ARSQOL. Cronbach's ${\alpha}$ was used to evaluate the reliability of ARSQOL. Results: CVI for the items in the final ARSQOL were. 92. Five factors including discomfort associated with nasal symptoms (4 items), physical function (7 items), mental function (5 items), sleep disorder and social function (4 items), and problems of daily life (6 items) were identified through factor analysis and these five factors explained 66.6% of the total variance. The correlation coefficient between TNSS and the total score of life quality was -.69. In the group comparison, the persistent allergic rhinitis group showed lower ARSQOL scores than the intermittent patient group, and moderate to the severe allergic rhinitis patient group presented poorer ARSQOL than the mild symptom patient group. The Cronbach's ${\alpha}$ reliability coefficient was .95. Conclusion: Results show that the ARSQOL has good reliability and validity and thus ARSQOL is a useful scale for clinical practices and research as a measure of quality of life in adults with allergicr hinitis.

• Journal of Korean Academy of Nursing Administration
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• v.17 no.4
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• pp.484-492
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• 2011

Purpose: The aims of study were; (1) to evaluate the validity and sensitivity of a fall-risk assessment tool, and (2) to establish continuous quality improvement (CQI) methods to monitor the effective use of the risk assessment tool. Methods: A retrospective case-control cohort design was used. Analysis was conducted for 90 admissions as cases and 3,716 as controls during the 2006 and 2007 calendar years was conducted. Fallers were identified from the hospital’s Accident Reporting System, and non-fallers were selected by randomized selection. Accuracy estimates, sensitivity analysis and logistic regression were used. Results: At the lower cutoff score of one, sensitivity, specificity, and positive and negative predictive values were 82.2%, 19.3%, 0.03%, and 96.9%, respectively. The area under the ROC was 0.60 implying poor prediction. Logistic regression analysis showed that five out of nine constitutional items; age, history of falls, gait problems, and confusion were significantly associated with falls. Based on these results, we suggested a tailored falls CQI process with specific indexes. Conclusion: The fall-risk assessment tool was found to need considerable reviews for its validity and usage problems in practice. It is also necessary to develop protocols for use and identify strategies that reflect changes in patient conditions during hospital stay.

• Journal of Engineering Education Research
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• v.10 no.2
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• pp.73-86
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• 2007

The purpose of this study is to suggest directions to improve engineering education and the assessment system of our country. For this object, the present situation of engineering education and assessment system in Korea have been reviewed and next, for those of study, the research papers and publications about the environment of college education are analyzed. Finally, an improved assessment system is suggested. It has already passed out for 6 years since execute the accreditation for engineering education in our country now, but essential point for step in accreditation for engineering education is how the evaluator can make the outcomes of studying. This is not a new terminology that is deformed according to special quality of college of engineering which prefer out-come based of study than process based of study to mean accomplishment in engineering education. The evaluation that estimate program is a skill, but an assessment method is not the meaning of individual student accomplishment also, it is the measure of validity estimation that should be estimate ability of students who complete program by proper authority. However, a new evaluation strategy that assess student outcome by person who consider the objectivity and validity, reliability should be develop for decision making of ABEEK. It is an original, private discussion for assessment strategy about the method for student learning outcomes assessment.

• Journal of Practical Engineering Education
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• v.6 no.2
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• pp.71-76
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• 2014

Improving lecture quality is very necessary for the service quality of education in universities, enterprises and education institutes. The student lecture evaluation survey data is a good tool for measuring lecture quality and have been often analyzed by simple statistical methods. This study presents an intelligent lecture quality improvement method that can improve student's overall satisfaction and performance by analyzing student lecture evaluation survey data. The method uses SOFM (Self-Organizing Feature Map) neural network and C4.5 to find the patterns in student's satisfaction and performance more correctly and then decide what to change in the lecture for the improvement of student's satisfaction and performance. We apply the proposed method to an enterprise lecture in Korea. We can find that it can improve the quality of an enterprise lecture by changing total lecture time, lecture material and organization of lecture schedule to be necessary improvements.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.19 no.12
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• pp.758-764
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• 2018

This study was performed to investigate the effects of Occupation based Reminiscence therapy on cognitive function, depression, and quality of life in elderly patients with mild dementia. Thirty-one elderly patients with mild dementia underwent Occupation based Reminiscence therapy for 40 minutes per session, once weekly, for 8 weeks. Montreal Cognitive Assessment Korean Version (MoCA-K), Short Form of Geriatric Depression Scale-Korean Version (SGDS-K), and Geriatric Quality of Life-Dementia (GQOL-D) were used to measure cognitive function, depression level, and quality of life, respectively. Mean MoCA-K score increased from $14.62{\pm}5.07$ before intervention to $16.88{\pm}4.55$ after intervention; mean SGDS-K score decreased from $7.28{\pm}4.28$ to $6.10{\pm}4.09$, and mean GQOL-D score increased from $26.05{\pm}5.45$ to $28.55{\pm}5.74$. Furthermore, these positive changes were all statistically significant. Based on the results of this study, it was concluded Occupation based Reminiscence therapy may positively affect cognitive function, depression, and quality of life in elderly patients with mild dementia.

• Proceedings of the ESK Conference
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• 1998.04a
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• pp.81-86
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• 1998

제품의 사용성 평가에 주로 이용되고 있는 방법의 하나인 비디오 프로토콜 분석(Video Protocol)은 정 보의 질과 양적 측면에서 다른 방법에 비하여 우위에 있다고볼 수 있다. 그러나 비디오 프로토콜 분석 은 많은 물적, 시간적 비용의 투자가 필요한 방법이다. 이러한 문제점들은 컴퓨터의 정보 관리 기능을 활용한다면 충분히 해결될 수 있는 것들이다. 이에 '사용자 중심 디자인을 위한 컴퓨터 지원 시스템 개발' 의 일환으로 사용자중심 디자인 프로세스의 마지막 단계인 개발된 제품의 사용성 평가에 활용될 수 있는 컴퓨터 지원시스템으로써 컴퓨터를 활용한 비디오 정보 분석방법에 관하여 연구하고자 한다. 본 연구는 사용성 평가 비디오 정보를 분석할 수 있는 컴퓨터 지원 시스템을 개발하는데 그 목적을 두고 있다. 사용자 의 기초정보를 파악하는 단계, 사용성평가에 이용되는 제품의 정보를 설정하는 단계, 사용성의 다양한 측면 정보를 비디오정보로부터 추출하는 단계, 추출된 정보와 제품정보, 사용자 기초정보를 연관지어 분석하는 단계, 그리고 마지막으로 분석된 정보로부터 디자인개선의 컨셉을 도출하는 단계 등에 컴퓨터를 활용할 수 있는 통합적인 사용성 평가 컴퓨터에서 제어가 쉽게 이루어 지도록 하고, 이를 화면에 재생시키면서 관찰자가 필요한 정보를 실시간에 분석하고 기록할 수 있는 모든 지원 도구들을 포함하여, 이러한 기록이 자동적으로 분석정보로 활용되어 다양한 측면에서 제품의 사용성평가를 이룰 수 있도록 한다. 또한 분석정보를 도표화하고 분석과 정보검출, 정보생성 단계들 간의 피드백이 원활히 이루어 질 수 있도록 하여분석의 정밀도를 높일 수 있도록 한다. 니즈 데이터베이스가 확충되면 각 사용상황하의 사용성 문제 해결안뿐만 아니라 서로 관련이 있는 사용상황간의 연계 연구를 통해 좀 더 광범위한 개념의 제품 개발도 가능해 질 수 있을 것이다.와 만족도와의 관계 및 이상형에 대해 구체적으로 파악할 필요가 있다. 또한, 신체에 대한 이상형은 시대의 여러 여건에 따라서 변화할 수 있으므로 의복 착용자가 의복을 통해서 표현하고자 하는 이상형의 시대적 변화를 살펴볼 필요가 있다. 따라서 본 연구에서는 신체에 대한 인식도 및 만족도, 이상형에 대한 설문지 조사와 신체측정을 통하여 신체 크기에대한 만족도를 객관적인 척도로 고찰하고, 이상형과 실제 체형에 관하여 고찰하고자 한다. 도한, 1992년도 자료와의 비교를 통하여 시대에 따른 신체만족도와 이상형의 변화를 파악하고자 한다. 이를 기초로 한 의복원형 제작 및 의복 디자인에 대한 연구를 통해 의복의 맞음새가 좋을뿐만 아니라 의복착용자들 에게 심리적 만족을 줄 수 있는 의복 제작에 도움이 될 수 있을 것이다.적입지로 분석되었다.등 다양한 모형들을 고려해 본 뒤, 적절한 모형을 적용할 것이다. 가로망 설계 모형에서 신호제어를 고려하기 위해서는 주어진 가로망에 대한 통행 배정과정에서 고려되는 통행시간을 링크통행시간과 교차로 지체시간을 동시에 고려해야 하는데, 이러한 문제의 해결을 위해서 최근 활발히 논의되고 있는 교차로에서의 신호제어에 대응하는 통행배정 모형을 도입하여 고려하고자 한다. 이를 위해서 지금까지 연구되어온 Global Solution Approach와 Iterative Approach를 비교, 검토한 뒤 모형에 보다 알맞은 방법을 선택한다. 차량의