• 환경영향평가
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• 제18권6호
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• pp.347-357
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• 2009

This study conducted a vulnerability assessment on Korea's physical infrastructure to provide base data for developing strategies to strengthen Korea's ability to adapt to climate change. The assessment was conducted by surveying professionals in the field of infrastructure and climate change science. A vulnerability assessment was carried out for seven climate change events: average temperature increases, sea level rise, typhoons and storm surges, floods and heavy rain, drought, severe cold, and heat waves. The survey asked respondents questions with respect to the consequences of each climate change event, the urgency of adaptation to climate change, and the scale of investment for adaptation to each climate change event. Thereafter, management priorities for infrastructure were devised and implications for policy development were suggested. The results showed that respondents expected the possibility of "typhoons and storm surges" and "floods and heavy rain" to be the most high. Respondents indicated that infrastructure related to water, transportation, and the built environment were more vulnerable to climate change. The most vulnerable facilities included river related facilities such as dams and riverbanks in the "water" category and seaports and roads in the "transport and communication" category. The results found were consistent with the history of natural disasters in Korea.

• 한국인공지능학회지
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• 제11권2호
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• pp.1-6
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• 2023

This paper presents a comprehensive scheme for assessing the importance of multiple microgrids (MGs) network that includes distributed energy resources (DERs), renewable energy systems (RESs), and energy storage system (ESS) facilities. Due to the uncertainty of severe weather, large-scale cascading failures are inevitable in energy networks. making the assessment of the structural vulnerability of the energy network an attractive research theme. This attention has led to the identification of the importance of measuring energy nodes. In multiple MG networks, the energy nodes are regarded as one MG. This paper presents a modified PageRank algorithm to assess the importance of MGs that include multiple DERs and ESS. With the importance rank order list of the multiple MG networks, the core MG (or node) of power production and consumption can be identified. Identifying such an MG is useful in preventing cascading failures by distributing the concentration on the core node, while increasing the effective link connection of the energy flow and energy trade. This scheme can be applied to identify the most profitable MG in the energy trade market so that the deployment operation of the MG connection can be decided to increase the effectiveness of energy usages. By identifying the important MG nodes in the network, it can help improve the resilience and robustness of the power grid system against large-scale cascading failures and other unexpected events. The proposed algorithm can point out which MG node is important in the MGs power grid network and thus, it could prevent the cascading failure by distributing the important MG node's role to other MG nodes.

• 한국보건간호학회지
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• 제28권3호
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• pp.495-508
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• 2014

Purpose: This study was conducted in order to evaluate the reliability, validity, sensitivity, and specificity of the Short Form of Bobath Memorial Hospital Fall Risk Assessment Scale (BMFRAS-SF). Methods: A validation study was conducted on 207 elderly patients aged over 65 who were admitted to Bobath Memorial Hospital. Fall risk scores of BMFRAS, composed of eight subscales (age, fall history, physical activity, consciousness level, communication, fall risk factors, underlying disease, and medications) were assessed from the electronic medical record. BMFRAS-SF was derived from eight subscales of the BMFRAS representing the significance between fallers and non-fallers (fall history, physical activity, fall risk factors, underlying disease, and medications). Internal consistency reliability and interrater reliability were assessed by Cronbach's alpha and kappa coefficient. Validity was assessed by Spearman correlation analysis, factor analysis. Sensitivity, specificity, positive predictive and negative predictive values, and a receiver-operating characteristic curve (ROC) were generated. Results: Fallers had significantly higher risk scores than non-fallers in fall history, physical activity, fall risk factors, underlying disease, and medication scales. The BMFRAS-SF demonstrated acceptable Cronbach's alpha (.706) and kappa coefficients of .95. The BMFRAS-SF subscales showed good convergent validity and construct validity. The BMFRAS-SF presented good sensitivity(86.7%), specificity(67.9%), positive predictive value(42.9%) and good negative predictive value(94.8%) at a cut-off score of 5. Areas under the ROC curves were .860 for the BMFRAS and .861 for the BMFRAS-SF. Conclusion: The BMFRAS-SF was proved to be reliable and valid. It could be used for time-saving assessment and evaluation of the high risks for falls in clinical practice settings.

• Korean journal of medical education
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• 제30권4호
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• pp.317-326
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• 2018

Purpose: The study examines changes in students' self-assessment of their general communication (GC) and medical communication (MC) competencies, as well as perceptions of MC concepts. Methods: Participants included 108 second year medical students enrolled at a Korean medical school studying an MC curriculum. It was divided into three sections, and participants responded to questionnaires before and after completing each section. To assess perceived GC and MC competency, items based on a 7-point Likert scale were employed; a single open-ended item was used to examine students' perceptions of MC. Statistical analysis was conducted to gauge GC and MC competency, whereas semantic network analysis was used to investigate students' perceptions of MC. Results: Students perceived their GC competency to be higher than MC. Perceived MC competency differed significantly across the three sections, whereas no differences were found for GC. There were no statistically significant differences after completing the curriculum's second and third sections; however, the vocabulary students used to describe MC concepts became more scholarly and professional. In the semantic networks, the link structure between MC-related words decreased in linearity and looseness, becoming more complex and clustered. The words 'information' and 'transfer' proved integral to students' perceptions; likewise, 'empathy' and 'communication' became closely connected in a single community from two independent communities. Conclusion: This study differed from prior research by conducting an in-depth analysis of changes in students' perceptions of MC, and its findings can be used to guide curriculum development.

• Clinical and Experimental Pediatrics
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• 제57권8호
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• pp.363-369
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• 2014

Purpose: This study examines changes in developmental profiles of children with language delay over time and the clinical significance of assessment conducted at age 2-3 years. Methods: We retrospectively reviewed the medical records of 70 children (62 male, 8 female), who had visited the hospital because of delayed language development at 2-3 years, and were reassessed at ages 5-6. Language and cognitive abilities were assessed using multiple scales at the initial and follow-up visits. Results: At the initial test, 62 of the 70 children had mental development index (MDI) below 70 of Bayley Scales of Infant Development Test II. Of the 62 children in the follow-up assessment, 30 children (48.4%) remained within the same cognitive range (full-scale intelligence quotient, FSIQ<70 of Wechsler preschool and primary scale of intelligence), 12 had borderline intellectual functioning (FSIQ, 70-85), 6 improved to average intellectual functioning (FSIQ>85), and 5 had specific language impairment, 9 had autism spectrum disorders. At the initial test, 38 of the 70 children had cognitive developmental quotients (C-DQ) below 70. Of the 38 children in the follow-up assessment, 23 children (60.5%) remained within the same cognitive range (FSIQ<70). The correlation coefficient for MDI and FSIQ was 0.530 (P<0.0001) and that for C-DQ and FSIQ was 0.727 (P<0.0001). There was a strong correlation between C-DQ and FSIQ, and a moderate correlation between MDI and FSIQ. Conclusion: Low MDI scores reflect a specific delay in cognitive abilities, communication skills, or both. The C-DQ, receptive language development quotient, and social maturity quotient also help to distinguish between children with isolated language delay and children with cooccurring cognitive impairment. Moreover, changes in the developmental profile during preschool years are not unusual in children with language delay. Follow-up reassessments prior to the start of school are required for a more accurate diagnosis and intervention.

• 한국의류학회지
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• 제18권3호
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• pp.327-338
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• 1994

KES-F system is widely used in hand evaluation, however, it has encountered some challenges, such as the overlapping of primary hand value, lack of predictability in case of women's thin dress, difficulties in communication due to complexity of primary hand expression and cultural differences in subjective evaluation. Therefore, this study was intended 1) to find out the Korean primary hand expressions(factors) of the overall concept of fabric hand associated with women's spring- fall dress fabrics, 2) to develope the fabric hand attributes of those fabrics and 3) to show whether there are any differences between Korean textile experts and non-experts in terms of the concept of fabric hand descriptors of hand attributes. Data base of hand descriptors were collected by extensive interview 60 experts and 10 non - experts using 110 spring-fall dress fabrics. Finally, hand of selected fabrics was assessed by 205 experts and 265 non-experts using 7-point scale of 26 descriptors based on the data base. Subjective ratings were analyzed by common factor analysis with varimax rotation. It was found that Korean primary hand expression indicated rather simple property, hence, did not equate exactly with Japanese experssion(e.g. koshi, shinayakasa, etc.) which contains several material properties. There were differences in stretch IE resilience, especially liveliness, between the judgement of non- ex- pert than to experts. Surface- related category was more important to non-experts than to experts. Slight differences were found between both groups in terms of preferred descriptors. Important descriptors as a rating scale were suggested.

• 여성건강간호학회지
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• 제24권1호
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• pp.33-48
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• 2018

Purpose: The purpose of this study was to develop a scale to evaluate parenting stress of international marriage immigrant women from Vietnam and the Philippines. Methods: The concept of parenting stress of international marriage immigrant women was analysed with a hybrid model. Data were collected from 273 international marriage immigrant women from Vietnam and the Philippines who were raising their children aged 1 to 6 years. These collected data were subjected to exploratory factor analysis, multitrait/multi-item matrix assessment, Pearson correlation coefficient analysis, and Cronbach's alpha internal consistency measurement. Results: The final instrument consisted of 28 items. The following six factors were extracted by exploratory factor analysis: 'insufficiency of parenting support system', 'role burden of mothers', 'maladjustment of children', 'confusion of parenting methods due to cultural differences', 'unskilled Korean communication', and 'ordinary difficulties'. Construct validity (factor analysis, convergent validity, and discriminant validity) and criterion-related validity were confirmed. Cronbach's ${\alpha}$ value of total items was .92(95% CI .91-.94). Cronbach's ${\alpha}$ of values for these factors ranged from .76 to .85. Conclusion: The parenting stress scale for international marriage immigrant women is a valid and reliable tool.

• 재활치료과학
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• 제12권2호
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• pp.69-83
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• 2023

목적 : 본 연구는 예비연구로 65세 이상 노인을 대상으로 Information & Communication Technology(ICT) 홈 기반 프로그램을 적용하여 인지향상 프로그램의 효과를 확인하고, 원격재활 전달모델로서 가능성을 찾고자 한다. 연구방법 : 2022년 8월부터 10월까지 대상자 3인을 선정하여 약 2개월에 걸쳐 ICT 홈 기반 인지향상 프로그램 중재를 실시하였다. 본 중재는 프로그램 전·후 인지향상을 평가하기 위해 한국판 간이 정신상태 검사, 한국판 몬트리올 인지평가, 노인용 전산화 인지평가도구, Two shorter form of the Center for Epidemiologic Studies Depression scale을 사용하여 진행하였다. 치료사는 원격으로 대상자의 수준에 맞는 인지훈련의 난이도 조절을 매주 피드백을 통해 설정하고 프로그램 진행 시에는 매일 정해진 시간에 치료사의 도움 없이 진행하였다. 인지향상 프로그램에 대한 추가 의견을 위해 인터뷰를 진행하였다. 결과 : 중재 후, 사전 사후에 진행한 한국판 몬트리올 인지평가 대부분의 항목에서 모든 대상자가 향상된 점수를 보였다. 또한 Cotras-pro의 항목 중 상위인지, 언어능력, 주의집중, 시지각, 기억력이 향상되었다. 결론 : ICT 홈 기반 프로그램을 사용한 인지재활훈련은 치매를 예방할 뿐 아니라 원격재활에 대한 내적동기 또한 가질 수 있었다. 본 연구를 통해 노인을 대상으로 한 원격재활이 가능할 수 있음을 확인할 수 있었다.

• 한국전자통신학회논문지
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• 제11권9호
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• pp.909-916
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• 2016

본 연구는 높은 점도의 음식을 삼키는 훈련이 뇌졸중 후 삼킴장애 환자의 삼킴기능에 미치는 영향을 알고자 하였다. 본 연구는 경기도에 위치한 종합병원에 입원 중인 삼킴장애가 있는 뇌졸중 환자 18명을 대상으로 하였다. 대상자들은 실험군과 대조군으로 9명씩 무작위 배치되었다. 실험군은 높은 점도의 음식을 반복해서 삼키는 훈련을 받았고, 대조군은 전통적 삼킴치료를 받았다. 평가는 기능적 삼킴장애 척도, 침습흡인척도, 미국 언어 청각협회 삼킴척도를 측정하였다. 두 그룹 모두 중재 전과 후로 유의한 향상을 보였다(p<.05). 두 그룹 간의 변화량에서 실험군은 대조군보다 기능적 삼킴장애 척도에서 유의하게 더 큰 향상을 보였다(p<.05). 높은 점도의 음식을 삼키는 훈련은 뇌졸중 후 삼킴장애 환자의 삼킴기능에 긍정적인 영향을 줄 수 있을 것으로 사료된다.

• 한국콘텐츠학회논문지
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• 제14권10호
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• pp.818-828
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• 2014

이 연구에서는 우리나라에서 개발된 의사소통 측정도구의 사용대상, 문항 구성 요인을 알아보고, 보완대체의사소통체계(AAC) 사용자에게 적용된 의사소통 측정도구 분석을 통해 의사소통 측정도구와 AAC의 관련성을 알아보았다. 장애인을 대상으로 언어 및 의사소통 능력을 측정한 경우는 실어증이 월등히 많았으나 다른 장애유형에 적용한 경우는 드문 것으로 나타났다. 의사소통 측정도구의 문항 구성요인은 의사소통제한 요인과 의사소통을 제한하는 신체기능장애 요인을 많이 포함하고 있는 반면, 의사소통 참여 제한 요인과 의사소통을 방해하거나 촉진하는 환경적 요인이 포함된 경우는 많지 않았다. AAC 중재는 지체장애, 자폐성장애, 정신지체, 발달장애, 의사소통장애 순으로 많이 적용되었고, AAC 중재 실험에 사용된 의사소통 측정도구는 "그림어휘력검사", "수용 표현어휘력검사"가 많이 사용된 것으로 나타났다. 결과에 근거하여, AAC 적용 및 개별화교육 지원의 근거를 제공할 수 있는 평가의 필요성과 평가 준거 및 측정문항에 대한 연구가 시도되어야 함을 논의하였다.