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Influence of Critical Thinking Disposition on Satisfaction with Clinical Practice and Intention of Recommendation among Paramedic Students (응급구조학과 학생들의 비판적 사고성향이 임상실습만족도와 추천의도에 미치는 영향)

  • Choi, Mi-Young;Moon, Tae-Young;Lee, Hyun-Ji
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.3
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    • pp.1301-1312
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    • 2013
  • The purpose of this study was to examine the relationship of the critical thinking disposition of paramedic students to their satisfaction with hospital clinical practice and intention of recommendation. As for data analysis, the statistical packages SPSS WIN 20.0 and AMOS 20.0 were employed, and frequency analysis, factor analysis, multiple regression analysis and structural equation modeling were utilized. Besides, Cronbach alpha coefficients were calculated to check item internal consistency. The level of significance was all set at .05. A survey was conducted to collect data from May 12 to August 25, 2012, and the answer sheets from 305 respondents were gathered and analyzed. The critical thinking disposition of the paramedic students was found to have a significant impact on their satisfaction with clinical practice, and the hypothesis about that was accepted. Their critical thinking disposition was found to exert a significant influence on their intention of recommendation as well, and the hypothesis about that was accepted. Finally, their satisfaction with clinical practice was found to affect their intention of recommendation in a significant way, and the hypothesis about that was accepted. The findings of the study suggested that in order to nurture professional and competent paramedics, the content of clinical practice should systematically be managed on a regular basis, and prolonged research efforts should be directed into program development.

A Qualitative Case Study on the Application of Spatial Design in the One-Person Housing Space by Combining BIM Design Technology (BIM 설계 기술을 융합한 1인 주거공간디자인 사례연구)

  • Kim, Ji Eun;Park, Eun Soo
    • Korea Science and Art Forum
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    • v.37 no.2
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    • pp.101-112
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    • 2019
  • Regardless of the size, the role and meaning of the space required for human daily life are the same. Especially, as the spatial design is small and the size is small, the careful design and problem solving are needed to enable comfortable and convenient life even in a narrow space. The purpose of this study is to design a convergence model that utilizes the advantages of BIM, which can simulate actual design based on a new one-person housing space design plan optimized for one person. This study applied the BIM design technology to one-person housing 2D design, and the suitability examination and the space optimization design of the interior design were carried out. As a result of the study, utility of space improvement, consideration of housing environment, interference check, application of eco-friendly housing system, and MEP design item were derived. Therefore, BIM space design in interior space has been confirmed as a way to overcome limit and inefficiency of 2D design which is applied to actual space by various space design elements. Based on the results of this study, the One-person housing space model, which is applied to the study, is a pure creation designed based on various one-person housing of social and cultural peculiarities derived from previous research. This design example was applied to BIM technology to confirm the detailed and practical design possibility.

Reliability and Validity of Korean version of GRIT (한국판 GRIT 척도 : 신뢰도, 타당도 및 요인구조 연구)

  • Lee, Ung;Lim, Se-Won;Shin, Young-Chul;Shin, Dong-Won;Oh, Kang Seob;Kim, Sun-Young;Kim, Young Hwan;Jeon, Sang Won
    • Anxiety and mood
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    • v.15 no.1
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    • pp.53-60
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    • 2019
  • Objective : GRIT is a non-cognitive trait which is defined as perseverance and passion for long-term goals. It predicts success, performance and thedifference from other traits. The purpose of this study was to examine the reliability and validity of the Korean version of the GRIT scale. Methods : A total of 92 patients were enrolled in the study. All patients received psychiatric assessment including Clinical Useful Depression Outcome Scale (CUDOS), Clinical Useful Anxiety Outcome Scale (CUXOS), Patient Health Questionnaire (PHQ-15), Connor-Davidson Resilience Scale (CDRS), Brief Resilience Scale (BRS), and GRIT as well as demographic assessment. Cronbach's alpha coefficient of total GRIT score and the split-half reliability of each item was calculated to assess test reliability. Exploratory and confirmatory factor analyses were performed to select the best fitting model and assess construct validity. Finally, a correlation analysis was performed to check convergent and discriminant validity. Results : Cronbach's alpha coefficient for GRIT was found to be 0.85 and all Cronbach's alpha were more than 0.8 even in cases where all items were deleted. We found 3 appropriate factor models in exploratory factor analysis, compared them with 3 models and chose the 2-factor model as the most suitable based on the best fit test. Finally, correlation of the GRIT with CUDOS, CUXOS, PHQ-15, CDRS and BRS were statistically significant (all p<0.01), with relatively low correlation coefficient. Conclusion : This study indicates that the Korean version of GRIT is a reliable and valid instrument for investigating individual power of passion and perseverance.

A Study on the Classification of OVAL Definitions for the Application of SCAP to the Korea Security Evaluation System (국내 보안평가체제에 SCAP을 활용하기 위한 OVAL 정의 분류 연구)

  • Kim, Se-Eun;Park, Hyun-Kyung;Ahn, Hyo-Beom
    • Smart Media Journal
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    • v.11 no.3
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    • pp.54-61
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    • 2022
  • With the increase in the types of information systems managed by public institutions and companies, a security certification system is being implemented in Korea to quickly respond to vulnerabilities that may arise due to insufficient security checks. The korea security evaluation system, such as ISMS-P, performs a systematic security evaluation for each category by dividing the categories for technical inspection items. NIST in the United States has developed SCAP that can create security checklists and automate vulnerability checks, and the security checklists used for SCAP can be written in OVAL. Each manufacturer prepares a security check list and shares it through the SCAP community, but it's difficult to use it in Korea because it is not categorized according to the korea security evaluation system. Therefore, in this paper, we present a mechanism to categorize the OVAL definition, which is an inspection item written in OVAL, to apply SCAP to the korea security evaluation system. It was shown that 189 out of 230 items of the Red Hat 8 STIG file could be applied to the korea security evaluation system, and the statistics of the categorized Redhat definition file could be analyzed to confirm the trend of system vulnerabilities by category.

The structural analysis and design methods considering joint bursting in the segment lining (조인트 버스팅을 고려한 세그먼트 라이닝 구조해석 및 설계방법)

  • Kim, Hong-Moon;Kim, Hyun-Su;Jung, Hyuk-Il
    • Journal of Korean Tunnelling and Underground Space Association
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    • v.20 no.6
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    • pp.1125-1146
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    • 2018
  • Segment lining applied to the TBM tunnel is mainly made of concrete, and it requires sufficient structural capacity to resist loads received during the construction and also after the completion. When segment lining is design to the Limit State Design, both Ultimate Limit State (ULS) and Service Limit State (SLS) should be met for the possible load cases that covers both permanent and temporary load cases - such as load applied by TBM. When design segment lining, it is important to check structural capacity at the joints as both temporary and permanent loads are always transferred through the segment joints, and sometimes the load applied to the joint is high enough to damage the segment - so called bursting failure. According to the various design guides from UK (PAS 8810, 2016), compression stress at the joint surface can generate bursting failure of the segment. This is normally from the TBM's jacking force applied at the circumferential joint, and the lining's hoop thrust generated from the permanent loads applied at the radial joint. Therefore, precast concrete segment lining's joints shall be designed to have sufficient structural capacity to resist bursting stresses generated by the TBM's jacking force and by the hoop thrust. In this study, bursting stress at the segment joints are calculated, and the joint's structural capacity was assessed using Leonhardt (1964) and FEM analysis for three different design cases. For those three analysis cases, hoop thrust at the radial joint was calculated with the application of the most widely used limit state design codes Eurocode and AASHTO LRFD (2017). For the circumferential joints bursting design, an assumed TBM jack force was used with considering of the construction tolerance of the segments and the eccentricity of the jack's position. The analysis results show reinforcement is needed as joint bursting stresses exceeds the allowable tensile strength of concrete. This highlights that joint bursting check shall be considered as a mandatory design item in the limit state design of the segment lining.

A Cosideration on Physical Aspects in Teleradiotherapy Chart QA (원격방사선치료 기록부의 QA 에서 물리적 측면의 고찰)

  • 강위생;허순녕
    • Progress in Medical Physics
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    • v.10 no.2
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    • pp.95-101
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    • 1999
  • The aims of this report are to classify the incorrect data of patients and the errors of dose and dose distribution observed in QA activities on teleradiotherapy chart, and to analyze their frequency. In our department, radiation physicists check several sheets of patient chart to reduce numeric errors before starting radiation therapy and at least once a week, which include history, port diagram, MU calculation or treatment planning summary and daily treatment sheet. The observed errors are classified as followings. 1) Identity of patient, 2) Omitted or unrecorded history sheet even though not including the item related to dose, 3) Omission of port diagram, or omitted or erroneous data, 4) Erroneous calculation of MU and point dose, and important causes, 5) Loss of summary sheet of treatment planning, and erroneous data of patient in the sheet, 6) Erroneous record of radiation therapy, and errors of daily dose, port setup, MU and accumulated dose in the daily treatment sheet, 7) Errors leading inexact dose or dose distribution, errors not administerd even though its possibility, and simply recorded errors, 8) Omission of sign. Number of errors was counted rather than the number of patients. In radiotherapy chart QA from Jun 17, 1996 to Jul 31, 1999, no error of patient identity had been observed. 431 Errors in 399 patient charts had been observed and there were 405 physical errors, 9 cases of omitted or unrecorded history sheet, and 17 unsigned. There were 23 cases (5.7%) of omitted port diagram, 21 cases (5.2%) of omitted data and 73 cases (18.0 %) of erroneous data in port diagram, 13 cases (3.2 %) treated without MU calculation, 68 cases (16.3 %) of erroneous MU, 8 cases (2.0%) of erroneous point dose, 1 case (0.2 %) of omitted treatment planning summary, 11 cases (2.7%) of erroneous input of patient data, 13 cases (3.2%) of uncorrected record of treatment, 20 cases (4.9%) of discordant daily doses in MU calculation sheet and daily treatment sheet, 33 cases (8.1%) of erroneous setup, 52 cases (12.8%) of MU setting error, 61 cases (15.1%) of erroneous accumulated dose. Cases of error leading inexact dose or dose distribution were 239 (59.0 %), cases of error not administered even though its possibility were 142 (35.1 %), and cases of simply recorded error were 24 (5.9 %). The numeric errors observed in radiotherapy chart ranged over various items. Because errors observed can actually contribute to erroneous dose or dose distribution, or have the possibility to lead such errors, thorough QA activity in physical aspects of radiotherapy charts is required.

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Evaluation of Skin Dose and Image Quality on Cone Beam Computed Tomography (콘빔CT 촬영 시 mAs의 변화에 따른 피부선량과 영상 품질에 관한 평가)

  • Ahn, Jong-Ho;Hong, Chae-Seon;Kim, Jin-Man;Jang, Jun-Young
    • The Journal of Korean Society for Radiation Therapy
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    • v.20 no.1
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    • pp.17-23
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    • 2008
  • Purpose: Cone-beam CT using linear accelerator attached to on-board imager is a image guided therapy equipment. Because it is to check the patient's set-up error, correction, organ and target movement. but imaging dose should be cause of the secondary cancer when taking a image. The aim of this study is investigation of appropriate cone beam CT scan mode to compare and estimate the image quality and skin dose. Materials and Methods: Measurement by Thermoluminescence dosimeter (TLD-100, Harshaw) with using the Rando phantom are placed on each eight sites in seperately H&N, thoracic, abdominal section. each 4 methods of scan modes of are measured the for skin dose in three time. Subsequently, obtained average value. Following image quality QA protocol of equipment manufacturers using the catphan 504 phantom, image quality of each scan mode is compared and analyzed. Results: The results of the measured skin dose are described in here. The skin dose of Head & Neck are measured mode A: 8.96 cGy, mode B: 4.59 cGy, mode C: 3.46 cGy mode D: 1.76 cGy and thoracic mode A: 9.42 cGy, mode B: 4.58 cGy, mode C: 3.65 cGy, mode D: 1.85 cGy, and abdominal mode A: 9.97 cGy, mode B: 5.12 cGy, mode C: 4.03 cGy, mode D: 2.21 cGy. Approximately, dose of mode B are reduced 50%, mode C are reduced 60%, mode D are reduced 80% a point of reference dose of mode A. the results of analyzed HU reproducibility, low contrast resolution, spatial resolution (high contrast resolution), HU uniformity in evaluation item of image quality are within the tolerance value by recommended equipment manufacturer in all scan mode. Conclusion: Maintaining the image quality as well as reducing the image dose are very important in cone beam CT. In the result of this study, we are considered when to take mode A when interested in soft tissue. And we are considered to take mode D when interested in bone scan and we are considered to take mode B, C when standard scan. Increasing secondary cancer risk due to cone beam CT scan should be reduced by low mAs technique.

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Usefulness of MRI 3D Image Reconstruction Techniques for the Diagnosis and Treatment of Femoral Acetabular Impingement Syndrome(Cam type) (대퇴 골두 충돌 증후군(Cam type)의 진단과 치료를 위한 자기공명 3D 영상 재구성 기법의 유용성)

  • Kwak, Yeong-Gon;Kim, Chong-Yeal;Cho, Yeong-Gi
    • The Journal of the Korea Contents Association
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    • v.15 no.11
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    • pp.313-321
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    • 2015
  • To minimize CT examination for Hip FAI diagnosis and operation plan. also, whether the MRI 3D images can replace Hip Clock face image was evaluated when performing Hip FAI MRI by using additional 3D image. This study analyzed Hip MRI and 3D Hip CT images of 31 patients in this hospital. For the purpose of evaluating the images, one orthopedic surgeon and one radiology specialist reconstructed Clock face, at MR and CT modality, by superior 12 o'clock, labrum front 3 o'clock, and the other side 9 o'clock, centering on Hip joint articular transverse ligament 6 o'clock. Afterwards, by the Likert Scale 5 point scale (independent t-test p<0.005), this study evaluated the check-up of A. retinacular vessel, B. head neck junction at 11 o'clock, A. Epiphyseal line, B. Cam lesion at 12 o'clock, and Cam lesion, Posterior Cam lesion at 1,2,3 and 4 o'clock. As for the verification of reliability among observers, this study verified coincidence by Cohen's weighted Kappa verification. As a result of Likert scale for the purpose of qualitative evaluation about the image, 11 o'clock A. retinacular vessel MR average was $3.69{\pm}1.0$ and CT average was $2.8{\pm}0.78$. B. head neck juncton didn't have a difference between two observers (p <0.416). 12 o'clock A. Epiphyseal line MR average was $3.54{\pm}1.00$ and CT average was $4.5{\pm}0.62$(p<0.000). B. Cam lesion didn't have a difference between two observers (p <0.532). 1,2,3,4 Cam lesion and Posterior Cam lesion were not statistically significant (p <0.656, p <0.658). As a result of weighted Kappa verification, 11 o'clock A.retinacular vessel CT K value was 0.663 and the lowest conformity. As a result of coincidence evaluation on respective item, a very high result was drawn, and two observers showed high reliability.

An Analysis of the Characteristics of the Civil Complaints Occurred to the Landscape Architecture Project in Apartment Complex (아파트 단지 조경사업에서 발생하는 민원 특성 분석 - 민원의 공공성과 조치용이성 분석을 중심으로 -)

  • Cho, Se-Hwan;Lee, Myeong-Hun;Jo, Hyun-Kil;Kim, In-Ho;An, Seung-Hong;Oh, Jeong-Hak
    • Journal of the Korean Institute of Landscape Architecture
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    • v.41 no.5
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    • pp.78-90
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    • 2013
  • The purpose of this study was to analyze the types and characteristics of public complaints caused by the landscape architecture projects in the case of apartment complex. Furthermore, its purpose was also to propose as the basis data for the minimization of complaints in the course of future landscape architecture projects. To analyze and categorize the apartment complex civil complaints, we collected basic and case study data from LH Corporation, SH Corporation and GICO from 2009 to 2012. We also categorized 672 landscape complaints to 73 categories and conducted a survey from residents and landscape architecture. This Survey is to use IPA can collect character(public-private), handling of civil affair(easy-hard) and analyze typical characters and difference of civil complaint awareness between landscape architecture and residents. First, we were categorized 73 civil complaints by type in 5 categories such as park, green space and street trees, pedestrian road, facilities, and others. Second, the most common landscape complaints appear in green spaces, street trees, facilities, pedestrian roads and park orders. Third, results of the analysis conducted for each item which are publicity and measures the ease. 'Facilities', 'landscape and greenery', 'pedestrian road' and others were commonly appears from residents and professional awareness of the complaints. However, complaints of park appear different awareness between landscape architecture and residents. Fourth, 35 from 73 civil complaints(47.9%) are having high publicity and easy to measure, 25 civil complaints(34.2%) has analyzed to individual and difficult to measure so about the these complaints need to check from the design step so that it is necessary to minimize the problem of additional expense by civil complaints burden and decrease the confidence of residence problem were considered.

A Study on Development of Guideline on Writing Technical Document for Electrical Medical Devices: Dental X-ray Equipment (치과용엑스선장치의 기술문서 작성을 위한 가이드라인 개발 연구)

  • Lee, Seung-Youl;Kim, Jae-Ryang;Lee, Jun-Ho;Park, Chang-Won
    • Journal of radiological science and technology
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    • v.39 no.4
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    • pp.651-660
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    • 2016
  • Due to recent population aging, the number of check-up for senior citizens has increased steadily. According to this trend, the market size of dental X-ray equipment and the number of approval and review for these devices have simultaneously increased. The technical document of medical device is required for approval and review for medical device, and medical device companies needs to have work comprehension and expertise, as the document needs to include the overall contents such as performances, test criteria, etc.. Yet, since most of domestic manufacturers or importers of medical devices are small businesses, it is difficult for them to recruit professional manpower for approval of medical devices, and submission of inaccurate technical documents has increased. These problems lead to delay of the approval process and to difficulties in quick entering into the market. Especially, the Ministry of Food and Drug safety (MFDS) standards of a dental extra-oral X-ray equipment, a dental intra-oral X-ray equipment, an arm-type computed tomography, and a portable X-ray system have been recently enacted or not. this guideline of dental X-ray equipment adjusting revised standards was developed to help relative companies and reviewers. For this study, first, the methods to write technical document have been reviewed with revised international and domestic regulations and system. Second, the domestic and foreign market status of each item has been surveyed and analyzed. Third, the contents of technical documents already approved by MFDS have been analyzed to select the correct example, test items, criteria, and methods. Finally, the guideline has been developed based on international and domestic regulation, through close review of a consultative body composed of academic, industrial, research institute and government experts.