• Title/Summary/Keyword: Assessment Center Method

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Development of an Nursing Assessment Tool for Emergency Patients (응급환자 간호사정 도구개발)

  • Ahn, Mi-Hyun
    • Journal of Korean Academy of Nursing Administration
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    • v.4 no.2
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    • pp.419-437
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    • 1998
  • Nurses use a nursing process. that is a scientific approach method. in order to understand the clients' condition and to solve their problems. Professional nurses have accepted the nursing process as a standard framework for nursing activities, and the first step of the nursing process is nursing assessment. The purpose of this study was to develop a nursing assessment tool for emergency patients. Assessment is a first step in the nursing process, and scientific assessment helps to better understand the patients. Thus the development of an assessment tool for emergency patients will improve of nursing quality and advance to efficacy of emergency room(ER) management. The study involved the development of a conceptual framework, preliminary tool, content validity verification process. and reliability verification process. The conceptual framework was developed through a review of the literature. and preliminary tool was developed from the conceptual framework that based on care flow sheet' developed James A. Haley. The preliminary tool was evaluated for validity and reliability by seven experts, one ER nurse manager, two ER head nurses, two emergency medicine doctors. and two ER charge nurses and by ten nurses with one to five year careers in ER nursing. The results of this study was as follows 1. The conceptual framework which was developed was composed of three parts. They were triage criteria, first assessment and secondary assessment. 2. The preliminary tool which was developed had 31 items based on the conceptual framework. 3. To test expert validity a 4-point scale was used. items which had gained 3-4 points from six persons of the seven experts were selected. All 31 items from the preliminary tool were selected. 4. The reliability test was done by ten nurses educated in the use of the assessment tool. Two pairs of nurses simultaneously assessed the same patients. A total agreement percentile was calculated and result was 87.3% agreement. 5. After the validity and reliability testing. the final emergency patient nursing assessment tool was finalized with 31 items. and a check-list for the responses. This study concludes that the tool which was developed is both valid and reliable will advance quality care for emergency patients. This emergency nursing assessment tool was also found to be an adequate tool for assessment of emergency patients.

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Comparison of the Incineration Processes of Domestic Wastes Based on Life Cycle Assessment (생활폐기물(生活廢棄物) 소각(燒却) 처리공정(處理工程)의 전과정(全科程) 평가(平價)에 의한 비교(比較))

  • Jung, Woo-Jung;Lee, Sang-Don;Kim, Dong-Su
    • Journal of Environmental Impact Assessment
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    • v.14 no.6
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    • pp.443-453
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    • 2005
  • For the purpose of the comparative environmental estimation of the incineration processes for domestic wastes, environmental impacts for several incineration processes for one ton of domestic wastes have been estimated by employing life cycle assessment as the environmental impact assessment method. The scheme of minimum production of environmental pollutants has been considered for three different incineration processes. The evaluation for latent influence on environment was carried out by using CML(Center of Environmental Science) method which was developed by University of Leyden in Netherlands based on the equivalency factor suggested by Korea Accreditation Board. The result of life cycle assessment has showed that the total cost analysis according to the amount of incinerating waste was dependent on the operating conditions of incineration process. In addition, the annual running cost for the incineration of one ton of wastes was estimated to be negatively dependent on the amount of wastes. The degree of environmental pollution was mainly due to the kinds of the wastes rather than by the amount of wastes.

The Effectiveness of Center Airbag on Passenger Kinematics and Head Injury in Side Collisions (측면 충돌 시 센터에어백이 승객의 거동 및 머리상해에 미치는 영향)

  • Park, Jiyang;Kim, Dongseop;Kwak, Youngchan;Son, Changki;Youn, Younghan
    • Journal of Auto-vehicle Safety Association
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    • v.10 no.3
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    • pp.7-12
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    • 2018
  • The Korean New Car Assessment Program (KNCAP) is a program to evaluate the safety of automobiles. In the safety assessment method, there are frontal collision, partial frontal collision, side collision, pillar collision, and left stability in the collision safety category. Among them, Korean in-depth analysis data shows that there are a lot of side collision accidents and it is necessary to protect them. This study will analyze the side collision accident that occurred in actual traffic accident based on Korea In-Depth Accident Study (KIDAS) and investigate the effect of center airbag on passenger in under side collision. In addition, with simulated side collision scenarios in the various side impact directions, it was investigated how the center airbag affects the driver and passenger in terms of kinematic and injury levels.

SoEM: a novel PCR-free biodiversity assessment method based on small-organelles enriched metagenomics

  • Jo, Jihoon;Lee, Hyun-Gwan;Kim, Kwang Young;Park, Chungoo
    • ALGAE
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    • v.34 no.1
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    • pp.57-70
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    • 2019
  • DNA metabarcoding is currently used for large-scale taxonomic identification to understand the community composition in various marine ecosystems. However, before being widely used in this emerging field, this experimental and analytic approach still has several technical challenges to overcome, such as polymerase chain reaction (PCR) bias, and lack of well-established metabarcoding markers, a task which is difficult but not impossible to achieve. In this study, we present an adapted PCR-free small-organelles enriched metagenomics (SoEM) method for marine biodiversity assessment. To avoid PCR bias and random artefacts, we extracted target DNA sequences without PCR amplification from marine environmental samples enriched with small organelles including mitochondria and plastids because their genome sequences provide a valuable source of molecular markers for phylogenetic analysis. To experimentally enrich small organelles, we performed subcellular fractionation using modified differential centrifugation for marine environmental DNA samples. To validate our SoEM method, two marine environmental samples from the coastal waters were tested the taxonomic capturing capacity against that of traditional DNA metabarcoding method. Results showed that, regardless of taxonomic levels, at least 3-fold greater numbers of taxa were identified in our SoEM method, compared to those identified by the conventional multi-locus DNA metabarcoding method. The SoEM method is thus effective and accurate for identifying taxonomic diversity and presents a useful alternative approach for evaluating biodiversity in the marine environment.

Sampling Procedures Enhancement in Government Defense Quality Assurance Procedures: Case Studies in Combat Force Support Material & Ammunition Areas (국방 품질보증 활동 강화를 위한 샘플링 방법 개선: 전투물자 및 탄약 분야 사례 위주)

  • Ahn, Nam-Su;Jeong, Ji-Sun;Jeong, Woon-Kwon;Hwang, Woo-Yull;Park, Sang-Won
    • Journal of Korean Society for Quality Management
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    • v.40 no.3
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    • pp.245-258
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    • 2012
  • Purpose: Recently, many quality issues are aroused in military forces, such as failures in K-series weapons, combat boots defects and 40mm ammunition explosion accident. To address these problems, the one and only government defense quality assurance agency, DTaQ(Defense Agency for Technology & Quality) tried to improve many quality assurance procedures and introduced new systems such as MRA(Manufacturing Readiness Assessment), TRA(Technology Readiness Assessment), and etc. However, as the amount of war supplies increasing every year, the resource(budget and manpower) for quality assurance is limited. Therefore, DTaQ had difficulty to handle the issue efficiently and effectively, and we propose the method to address this problem. Methods: The most popular quality assurance technique is a sampling method, in this research, we first review the many sampling techniques and compare the strength and weakness of each method. After then, we selected the most appropriate sampling techniques and applied the procedures in combat force support material and ammunition areas. Results: We can reduce the number of samples dramatically, thus the required amount of labor time and money can be saved. Also, the new sampling technique enforces the supplier to produce the product which meets the target value(desirable value). Conclusion: We can reduce the number of samples dramatically, thus the required amount of labor time and money can be saved. Also, the new sampling technique enforces the supplier to produce the product which meets the target value(desirable value). Lastly, since the new sampling method requires many numerical calculations, we developed a simple android OS smart-phone application which can be used easily in field.

Validation on the Application of Bluetooth-based Inertial Measurement Unit for Wireless Gait Analysis (무선 보행 분석을 위한 블루투스 기반 관성 측정 장치의 활용 타당성 분석)

  • Hwang, Soree;Sung, Joohwan;Park, Heesu;Han, Sungmin;Yoon, Inchan
    • Journal of Biomedical Engineering Research
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    • v.41 no.3
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    • pp.121-127
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    • 2020
  • The purpose of this paper is to review the validation on the application of low frequency IMU(Inertial Measurement Unit) sensors by replacing high frequency motion analysis systems. Using an infrared-based 3D motion analysis system and IMU sensors (22 Hz) simultaneously, the gait cycle and knee flexion angle were measured. And the accuracy of each gait parameter was compared according to the statistical analysis method. The Bland-Altman plot analysis method was used to verify whether proper accuracy can be obtained when extracting gait parameters with low frequency sensors. As a result of the study, the use of the new gait assessment system was able to identify adequate accuracy in the measurement of cadence and stance phase. In addition, if the number of gait cycles is increased and the results of body anthropometric measurements are reflected in the gait analysis algorithm, is expected to improve accuracy in step length, walking speed, and range of motion measurements. The suggested gait assessment system is expected to make gait analysis more convenient. Furthermore, it will provide patients more accurate assessment and customized rehabilitation program through the quantitative data driven results.

Reliability and Validity of the Postural Assessment Scale for Stroke in Chronic Stroke Patients (만성뇌졸중 환자의 Postural Assessment Scale for Stroke의 신뢰도와 타당도)

  • An, Seung-Heon;Lee, Je-Hoon
    • The Journal of Korean Physical Therapy
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    • v.21 no.1
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    • pp.9-17
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    • 2009
  • Purpose: The purpose of this study was to determine reliability and validity of the Postural Assessment Scale for Stroke Patients (PASS) in chronic stroke patients. Methods: A total of 43 stroke patients, who had a stroke more than 6 months previously, participated in the study. Reliability was determined by the intra-class correlation coefficient (ICC$_{3,1}$), Bland and Altman method and Cronbach's alpha by internal consistency. Validity was examined by correlation the PASS scores to the Berg Balance Scale (BBS), Trunk Control Test (TCT), and Fugl-Meyer Balance (FM-B) score. Results: The intra-rater reliability and the Absolute reliability of the PASS was good ICC$_{3,1}$=0.97 (95%CI 0.95$\sim$0.99) and excellent SEM=1.01 respectively. Cronbach's alpha value for PASS was found to be 0.94. There were significant correlations between the PASS and BBS, TCT, FM-B (r=0.65-0.96, p<0.01). Conclusion: The PASS provide reliable and valid instrument of the postural control assessment for chronic stroke patients.

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Effects of a Bilateral upper Limb Training Program Using a Visual Feedback Method on Individuals with Chronic Stroke: A Pilot Clinical Trial

  • Kang, Dongheon;Park, Jiyoung;Choi, Chisun;Eun, Seon-Deok
    • International Journal of Contents
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    • v.17 no.2
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    • pp.20-31
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    • 2021
  • This study aimed to pilot test a newly developed bilateral upper limb rehabilitation training program for improving the upper limb function of individuals with chronic stroke using a visual feedback method. The double-group pretest-posttest design pilot study included 10 individuals with chronic stroke (age >50 years). The intervention (four weekly meetings) consisted of five upper limb training protocols (wrist extension; forearm supination and pronation; elbow extension and shoulder flexion; weight-bearing shift; and shoulder, elbow, and wrist complex movements). Upper limb movement function recovery was assessed with the FuglMeyer Assessment of the Upper Extremity, the Wolf Motor Function Test, the Trunk Control Test, the modified Ashworth Scale, and the visual analog scale at baseline, immediately after, and four weeks after the intervention. The Fatigue Severity Scale was also employed. The Fugl-Meyer Assessment of the Upper Extremity and Wolf Motor Function Test showed significant improvement in upper limb motor function. The Trunk Control Test results increased slightly, and the modified Ashworth Scale decreased slightly, without statistical significance. The visual analog scale scores showed a significant decrease and the Fatigue Severity Scale scores were moderate or low. The bilateral upper limb training program using the visual feedback method could result in slight upper limb function improvements in individuals with chronic stroke.

Reliability Assessment of Tubular Markers Used for Road Safety Facilities (도로안전시설용 시선유도봉의 신뢰성 평가)

  • Koo, Hyun-Jin;Yoon, Ye-Seok
    • Journal of Applied Reliability
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    • v.12 no.2
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    • pp.91-103
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    • 2012
  • Tubular markers for road safety facilities are used to lead the driver's sight line and separate the lanes on the road. Such tubular markers are usually installed on the road and frequently hit by vehicles, they are accordingly requested to assure the product durability. The traditional evaluation method of tubular markers include only quality tests of the material properties. However, most of consuming agencies in charge of road management at fields have proposed problems on long-term performance of the products hit by vehicles under various weather conditions. Therefore, the objectives of this study are to develop the reliability test methods and equipments to simulate the product failures of tubular markers due to vehicle collision and wheel compression and the delamination and discoloration of reflection sheets attached on the surface of the products under high and low temperatures.

Review on Fukuda Stepping Test, Its Procedures and Criteria for the Evaluation of the Postural Balance Control (자세음양 균형검사로서 Fukuda Stepping Test에 대한 문헌적 고찰)

  • Bae, Jin Yong;Lee, Jaemin;Lee, Gyeong Ran;Lee, Young Jun;Yin, Chang Shik
    • Journal of TMJ Balancing Medicine
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    • v.4 no.1
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    • pp.5-7
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    • 2014
  • Objectives: Neurological examination on balance function is widely applied in clinical practice. Balance function may be clinically relevant to an assessment of yinyang balance in such therapies as temporomandibular joint balancing medicine. Fukuda stepping test is a relatively not-well-known method of balance function test. This study reviewed the procedures and criteria of Fukuda stepping test. Method: Recent articles on Fukuda stepping test were searched in public database (Pubmed, Proquest) and reviewed for its procedures and clinical implications. Results: Fukuda stepping test adopts 50 steps or 100 steps with subsequent assessment of the deviation or displacement of the subject. It may not be reliable during acute phase. Conclusion: Fukuda stepping test may be utilized and be further developed to assess balance function in the neurological management of functions.

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