• Title/Summary/Keyword: Assessing

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Development and Psychometric Evaluation of the Patient Safety Violation Scale in Medical Oncology Units in Iran

  • Shali, Mahboobeh;Ghaffari, Fatemeh;Joolaee, Soodabeh;Ebadi, Abbas
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.9
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    • pp.4341-4347
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    • 2016
  • Background: Patient safety is one of the key components of nursing care for cancer cases. Valid and reliable context-based instruments are necessary for accurate evaluation of patient safety in oncology units. The aim of the present study was to develop and evaluate the psychometric properties of the Patient Safety Violation Scale in medical oncology units in Iran. Materials and Methods: In this methodological study, a pool of 58 items was generated through reviewing the existing literature. The validity of the 58-item scale was assessed through calculating impact score, content validity ratio, and content validity index for its items as well as conducting exploratory factor analysis. The reliability of the scale was evaluated by assessing its internal consistency and testretest stability. Study sample consisted of 300 oncology nurses who were recruited from thirteen teaching hospitals affiliated to Tehran University of Medical Sciences, Tehran, Iran. Results: Sixteen items were excluded from the scale due to having low impact scores, content validity ratios, or content validity indices. In exploratory factor analysis, the remaining 42 items were loaded on five factors including patient fall, verification of patientidentity, harm during care delivery, delay in care delivery, and medication errors. These five factors explained 62% of the total variance. The Cronbach's alpha of the scale and the test-retest interclass correlation coefficient were equal to 0.933 and 0.92, respectively. Conclusions: The 42-item Patient Safety Violation Scale is a simple and short scale which has acceptable validity and reliability. Consequently, it can be used for assessing patient safety in clinical settings such as medical oncology units and for research projects.

A Pilot Study of the Usefulness of Intelligence Test in Assessment of Attention-Deficit Hyperactivity Disorder (주의력결핍 과잉행동장애 환아 평가시 지능검사의 유용성에 관한 예비연구)

  • Min, Jung-Won;Lee, Won-Hye;Hong, Min-Ha;Bahn, Geon Ho
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.23 no.4
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    • pp.196-203
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    • 2012
  • Objectives:We analyzed the usefulness of intelligence test in assessing attention-deficit hyperactivity disorder (ADHD). Methods:The medical records of 312 patients with ADHD who visited the child psychiatry department in one university hospital in Seoul, Korea, were reviewed. Demographic data and scores on the Korean Wechsler Intelligence Scale for Children-III (K-WISC-III) and Korean-Conners' Parent Rating Scale (K-CPRS) were analyzed. To assess the relationship with comorbidities, AD-HD subjects were classified as; externalizing disorders, internalizing disorders, tic disorders, and no comorbidities. Results:Verbal intelligence quotient (VIQ) was significantly higher than performance IQ (PIQ)($102.6{\pm}14.44$, $99.2{\pm}14.48$, p<.001). Using mean scatter method, subtest scores such as 'information, similarities, digit span and coding' were significantly lower than mean scores of sum of subtests of VIQ or PIQ (p<.05). Regarding comorbidities, children with externalizing disorders exhibited. Lower scores on 'information and vocabulary' than other groups (p=.008). Children with no comorbidities exhibited higher scores on 'similarities and object assembly' than children with externalizing/internalizing disorders (p=.001) and also on 'comprehension' than children with externalizing disorders (p=.006). For subtypes of ADHD, children with hyperactive-impulsive type had higher scores on 'comprehension' than children with inattentive and combined type (p=.004). Conclusion:These results suggested that intelligence test might provide useful information for assessing ADHD.

Effects of Purposeful Activities Combined with Music on Upper Extremity Function, Therapeutic Motivation, and Mood in Acute Stroke Patients (음악을 병행한 목적있는 활동이 급성기 뇌졸중 환자의 상지기능, 치료동기와 기분에 미치는 효과)

  • Moon, Jong-Hoon;Kim, Kye-Ho;Lee, Soon-Hyun;Won, Young-Sik
    • PNF and Movement
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    • v.15 no.3
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    • pp.267-279
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    • 2017
  • Purpose: The aim of the investigation was to identify the effects of purposeful activities combined with music on upper extremity function, motivation, and mood in acute stroke patients. Methods: For the study, 19 acute stroke inpatients were recruited at a general hospital in Korea. The patients were allocated between an experimental group (n=9) and a control group (n=10). The experimental group performed purposeful activities with their preferred music, and the control group carried out purposeful activities without music. The 2 groups received the treatments 30 min per day, 5 days per week, for 4 weeks. Measurements were taken before and after intervention, including a manual function test (MFT) for measuring upper extremity function, a volitional questionnaire (VQ) for assessing motivation, and the Beck depression inventory (BDI) and Beck anxiety inventory (BAI) for assessing mood. Results: In post-treatment measurement, both groups showed greater MFT, VQ, and BDI scores than in pre-treatment. Significantly greater VQ and BDI changes were represented in the experimental group as compared to the control group. Conclusion: Based on the findings of this study, purposeful activities combined with music have a positive effect on motivation and depression in acute stroke patients.

Development and Evaluation of Smart Jacket with Embedded Wearable Device (웨어러블 디바이스를 이용한 기능성 스마트 재킷 개발 및 평가)

  • Lee, Jeong-Ran
    • Journal of the Korean Society of Clothing and Textiles
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    • v.32 no.3
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    • pp.395-407
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    • 2008
  • As global interest in clothing spreads over the smart clothing which arouses high added-value in the apparel industry, this study is to develop a smart jacket with an electrically-vibrating device maintaining excellent appearance and comfort. The vibrating device has a massage function that could relieve muscle pain near shoulders and neck. The purposes of this research are to develop jacket pattern for men in their thirties considering body shapes and fashion trend, to develop a wearable device that is composed of motor and controller and integrate it into a jacket, and to assess the external appearance and functional satisfaction of the smart jacket through the wearing test. The results are as follows: 1. In order to develope an appropriate jacket pattern for men in their thirties, several patterns were assessed for their fitting comfort. The final pattern was completed after making alterations some parts, and showed high satisfaction as 3.6(on a five-point scale) in all categories. 2. A vibrating device was developed by connecting motor, controller, battery and switch. Developing this device, focus was maximizing the strength of motor and minimizing the heat generated from motor and controller. Snaps were placed between inner and outer cloth of jacket so that the vibrating device could be easily attachable and detachable. The motor was located around Trapezius where muscles often get stiff. A switch was designed to be used in selecting the modes of Strong, Weak, and Cross Tapping. 3. The wearing test was conducted to examine outer appearance, comfort for motion, and functionality of the smart jacket. The results of assessing outer appearance showed that the location for attaching the vibrating device was not noticeable but looked natural, and there is almost no change in outer appearance when the vibrating device operates. The result of assessing comfort of action revealed that wearer's satisfaction was high in all categories about activity, wearer's comfort, etc. The result also showed that wear's satisfaction for effects of vibrating massage, easiness in using the device, heat generation was not less than 3.5 in all categories except a category about noise.

The Difference of Mortality According to Self-Assessed Health Status (주관적 건강상태에 따른 사망률 차이)

  • Woo, Hye-Kyung;Moon, Ok-Ryun
    • Health Policy and Management
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    • v.18 no.4
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    • pp.49-65
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    • 2008
  • The single-item question of self-assessed health status has consistently been reported to be associated with mortality in some developed countries, even after controlling for a wide range of health measurements and known risk factors for. mortality. It was intended in this study to find out whether or not such a relationship would also be valid in Korea. This study examined the effect of point of reference year on. the, predictive validity of self-assessed health for mortality in 6-year follow-up period. we need to test the validity of the self-assessed health, as an indicator for assessing health status using Cox's proportional hazard model. For the analysis, we used the data from the 2nd (1999) to the 7th survey of "Korean Labor and Income Panel Study," and assessed relative risk of death based on subjective health state by tracing 11,366 people who replied to the question of self-assessed health state in the 2nd year. According to the result, those who reported poor self assessed health state in the 2nd year showed a relatively high death rate, and their relative risk of death was significantly higher. Such a relationship was accentuated if the predictive value of the 2nd survey result would be replaced by the average of the cumulative data on the past six years. Thus, it can be concluded that self-assessed health state is valid as an index for assessing Korean people's health status.

A Study on the Openness of Landscape in Urban Cross Intersections (도시 내 십자형 교차로 경관의 개방성에 관한 연구)

  • Shin, Yu-Kyoung;Sung, Hyun-Chan
    • Journal of the Korean Society of Environmental Restoration Technology
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    • v.18 no.2
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    • pp.65-78
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    • 2015
  • An important factor in assessing the beneficial qualities of a city's intersection spaces can be measured by examining a pedestrian's approach to the space and calculating the openness observed in the overall design of adjacent buildings. These spaces are influential, since they offer opportunities for pedestrians to spend time and take in views of the surrounding environment. The intersection of horizontal components in cities such as Bundang-si and Suwon-si can provide a sense of openness or greenness. We believe that there is a need for careful analysis and study of such components, as defined by designations in Bucheon-si research, and that this study can give important insights for future urban planning and design. When assessing the openness of an intersection, a key variable is the reported rate of perforation, which factors into the greenness of a space. Because of the large and varied scope of this research, this rate is highly variable, as there were many differences between each site. In descending order of average ratios: Seongnam-si, 41.79% > Bucheon-si, 35.40% > Suwon-si, 30.42%. The data compared for each city was divided into study sites selected at downtown locations as well as in urban outskirts. Openness and greenness were analyzed at each downtown and outskirt site. A summary of the results shows a decreased openness average of -2.63% in downtown locations versus outskirt. The greenness ratios in urban outskirt areas were 4.86% greater than downtown locations on average. As it relates to the results of this analysis of openness, the comprehensive property zoning for each city was determined as a ratio of residential to commercial designations. This study analyzes view points within urban cross intersections in the downtown landscape. It presents basic data and research directions to promote a better environment with regard to openness, and consists of an analysis of the relationship between a variety of physical components.

Agricultural Application of Ground Remote Sensing (지상 원격탐사의 농업적 활용)

  • Hong, Soon-Dal;Kim, Jai-Joung
    • Korean Journal of Soil Science and Fertilizer
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    • v.36 no.2
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    • pp.92-103
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    • 2003
  • Research and technological advances in the field of remote sensing have greatly enhanced the ability to detect and quantify physical and biological stresses that affect the productivity of agricultural crops. Reflectance in specific visible and near-infrared regions of the electromagnetic spectrum have proved useful in detection of nutrient deficiencies. Especially crop canopy sensors as a ground remote sensing measure the amount of light reflected from nearby surfaces such as leaf tissue or soil and is in contrast to aircraft or satellite platforms that generate photographs or various types of digital images. Multi-spectral vegetation indices derived from crop canopy reflectance in relatively wide wave band can be used to monitor the growth response of plants in relation to environmental factors. The normalized difference vegetation index (NDVI), where NDVI = (NIR-Red)/(NIR+Red), was originally proposed as a means of estimating green biomass. The basis of this relationship is the strong absorption (low reflectance) of red light by chlorophyll and low absorption (high reflectance and transmittance) in the near infrared (NIR) by green leaves. Thereafter many researchers have proposed the other indices for assessing crop vegetation due to confounding soil background effects in the measurement. The green normalized difference vegetation index (GNDVI), where the green band is substituted for the red band in the NDVI equation, was proved to be more useful for assessing canopy variation in green crop biomass related to nitrogen fertility in soils. Consequently ground remote sensing as a non destructive real-time assessment of nitrogen status in plant was thought to be useful tool for site specific crop nitrogen management providing both spatial and temporal information.

Assessing the Metric to Measuring Land-Use Change Suitability (토지 이용 변화 예측 모형의 정확도 검정을 위한 통계량 연구)

  • Kim, Oh Seok
    • Journal of the Economic Geographical Society of Korea
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    • v.16 no.3
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    • pp.458-471
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    • 2013
  • This paper addresses the limitation of a map comparison metric entitled Figure of Merit through employing a simple land change model. The metric was originally designed to overcome limitations of other existing statistics, such as Kappa, when assessing predictive accuracy of land change models. A series of comparisons between null and predicted outcomes at multiple resolutions as well as a multi-resolution Figure of Merit analysis techniques of validation are compared for spatially segregated calibration and validation datasets. The Figure of Merit at the null resolution in this paper was 57%, although future research must be done to determine if this was simply a coincidence. A Figure of Merit greater than 50% would seem to represent a "Resolution of Merit" in that the Figure of Merit at that resolution becomes greater than the error. Thus, these two metrics should be used in tandem to assess predictive accuracy of a land change model.

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Selecting and Assessing Vulnerable Zones of Snow Damage in Urban Areas - the case of City of Busan (도심의 설해취약지역 선정 및 위험도 평가에 관한 연구 - 부산광역시 지형적 특성을 중심으로 -)

  • Koo, Yoo Seung;Lee, Sung Ho;Jung, Juchul
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.33 no.3
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    • pp.1077-1086
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    • 2013
  • Recent huge losses of both life and property have occurred by unexpected natural disasters. We studied snow damages, an important natural disaster issue because it happens more frequently in recent years. This study tries to select vulnerable areas of snowfall in advance and then establish climate change adaptation policy for minimizing unexpected snowfall damage. Busan, where is our study area, has hilly in downtown areas so that topography characteristics of the roads such as slope, elevation and aspect are vulnerable to snowfall. The sudden snowfall in Busan causes traffic jam and causes some schools in hilly to close some schools. At this moment, the adaptation policy has to be established for infrastructure (such as roads) in advance, because prediction of anomaly climate due to global warming is so difficult beside the damage of natural disaster is huge. Therefore, the purpose of this study is contribute to selecting and assessing vulnerable zones of snow damage focusing topography characteristics of the roads and then evaluating the degree of risk of vulnerable zones.

Application of Crossover Analysis-logistic Regression in the Assessment of Gene- environmental Interactions for Colorectal Cancer

  • Wu, Ya-Zhou;Yang, Huan;Zhang, Ling;Zhang, Yan-Qi;Liu, Ling;Yi, Dong;Cao, Jia
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.5
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    • pp.2031-2037
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    • 2012
  • Background: Analysis of gene-gene and gene-environment interactions for complex multifactorial human disease faces challenges regarding statistical methodology. One major difficulty is partly due to the limitations of parametric-statistical methods for detection of gene effects that are dependent solely or partially on interactions with other genes or environmental exposures. Based on our previous case-control study in Chongqing of China, we have found increased risk of colorectal cancer exists in individuals carrying a novel homozygous TT at locus rs1329149 and known homozygous AA at locus rs671. Methods: In this study, we proposed statistical method-crossover analysis in combination with logistic regression model, to further analyze our data and focus on assessing gene-environmental interactions for colorectal cancer. Results: The results of the crossover analysis showed that there are possible multiplicative interactions between loci rs671 and rs1329149 with alcohol consumption. Multifactorial logistic regression analysis also validated that loci rs671 and rs1329149 both exhibited a multiplicative interaction with alcohol consumption. Moreover, we also found additive interactions between any pair of two factors (among the four risk factors: gene loci rs671, rs1329149, age and alcohol consumption) through the crossover analysis, which was not evident on logistic regression. Conclusions: In conclusion, the method based on crossover analysis-logistic regression is successful in assessing additive and multiplicative gene-environment interactions, and in revealing synergistic effects of gene loci rs671 and rs1329149 with alcohol consumption in the pathogenesis and development of colorectal cancer.