• 한국과학교육학회지
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• 제27권4호
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• pp.346-353
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• 2007

본 연구에서는 그동안의 평가결과로부터 얻을 수 없었던 집단별, 개인별 정보를 끄집어 낼 수 있는 평가도구를 소개하고 있다. 본 연구의 목적은 우리 나라 중고등학생들에게 적용 가능하며, 학생들의 평가결과를 이용하여 학습준비도 및 학습진전도를 파악할 수 있는 지식상태분석법의 활용성을 분석하는 것이다. 이를 위해 마찰전기 평가 문항을 개발하고 개발된 평가문항에 대하여 지식공간론을 적용하여 중학교 2학년 학생들의 평가결과를 분석하였다. 학습전 학생들의 지식상태는 문항간 위계 관계가 형성되지 않았고, 예상위계도에 비해 학생들의 마찰전기에 대한 지식상태가 비구조화 되어 있는 것으로 나타났다. 학습 후에는 학습 전보다는 좀 더 세분화되고 구조화된 위계 관계로 지식상태가 변화했음을 볼 수 있었다. 학습후에 얻어진 학생들의 위계도를 이용하여 학습전 학습자 집단 혹은 학습자 개인의 지식상태를 분석할 수 있었고, 학습전 학생들의 지식상태와 학습후의 지식상태를 비교하여 학생들이 학습한 과학개념의 구조를 가시적으로 파악하는 것이 가능하였으며, 학습자 개개인에 대한 학습전후 진단도 가능한 것으로 나타났다. 따라서 지식상태분석법을 학습 진단평가도구로 활용할 수 있다고 볼 수 있다.

• Tuberculosis and Respiratory Diseases
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• 제83권1호
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• pp.89-95
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• 2020

Background: Same-day sputum microcopy is recommended in areas where sputum smear microscopy external quality assessment (EQA) is effectively implemented and sturdy. In Addis Ababa, the status of EQA and drop-out of same-day sputum smear microcopy has not yet been assessed. The objective of this study was to assess the quality of same-day sputum smear microscopy and diagnostic drop-out of presumptive tuberculosis (TB) patients in health facilities (HFs) across Addis Ababa, Ethiopia. Methods: Amulti-analysis was conducted from September 2016 to July 2017 to determine the status of external quality assessment and diagnostic drop-out of presumptive TB patients registered for same-day sputum smear microscopy. Data was coded and entered in Microsoft Excel, and subsequently transferred and analyzed using SPSS version 20.0. Results: The drop-out of same-day sputum smear microscopy was 209 (6.2%). More than 33% of the specimens collected for purposes of same-day sputum smears were of poor quality. Among the selected HFs for the study: 13 (46.4%) used filter reagents prior to sputum smear staining while 75% of the selected HFs for the study used smear microscopy services interruption in a year. The sensitivity and specificity of the HFs participating in regional quality assessment scheme for the diagnosis of TB was 97.4% and 99.6%, respectively. Conclusion: The diagnostic drop-out of same-day sputum smear microscopy was high in Addis Ababa. Strengthening EQA, competency-based laboratory professionals training on sputum smear microscopy might reduce the reading errors in sputum smear. Awareness creation of the community on the benefits gained from completion of specimen provision for the same-day approach decreases diagnostic drop-out and enhances TB control program.

• 대한간호학회지
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• 제27권1호
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• pp.49-60
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• 1997

The purpose of this study was to determine the incidence of malnutrition among patients on admission to hospital, to monitor changes in their nutritional status during hospitalization, and to determine the factors which might affect changes in nutritional status. The subjects for the study were patients who were admitted to general medicine for more than one week. Patients suffering from cardiovascular. renal disease, or dehydration were excluded. Nutritional assessment of the patients was performed on admission and nutritional status was reassessed one week and two weeks after admission. The nutritional assessment tool consisted of subjective history taking and anthropometric measurements. Biochemical measurements were performed only on admission. For anthropometric assessment : patients' body weight, subcutaneous skinfolds thickness, % of body fat, body mass index, and lean body mass were measured using caliper or Bio impedance Analyzer. Factors which might influence current nutritional status, like dietary intake, anorexia, nausea, vomiting, diarrhea, sleep disturbance, and number of days of NPO for diagnostic examinations were analyzed. The results are as follows : 1. Of the 59 patients who were studied, 61% were male and 39% female. The nutritional status of all of the 59 subjects was reassessed one week after admission, but it was only done for 22 subjects at two weeks. 2. The anthropometric measurements. including weight body mass index, lean body mass, body fat. and skin fold thickness. were all significantly decreased at one week after admission compared to the values at admission. On the other hand, two weeks after admission, only body weight and abdominal skinfolds thickness were decreased. 3. The subjects reported anorexia for an average of two days, sleep disturbance for two days, and no food intake due to diagnostic test for one day. In the second week of hospitalization, almost none of the patients complained of gastrointestinal symptoms or sleep disturbance except anorexia. Food consumption which was measured based on rice intake was 60% of the food served during the first week of hospitalization, and 66% during the second week of hospitalization. 4. There was no correlation between the subjective nutritional assessment and anthropometric assessment. 5. There was no statistical significance in anthropometric measurements among the patients with various diseases whereas sleep disturbance and no food intake due to various diagnostic test was prominent in patients with gastrointestinal diseases.

• Asian Pacific Journal of Cancer Prevention
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• 제17권9호
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• pp.4377-4380
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• 2016

Background: To compare diagnostic performance in differentiating benign from malignant ovarian masses between IOTA (the International Ovarian Tumor Analysis) simple rules and subjective sonographic assessment. Materials and Methods: Women scheduled for elective surgery because of ovarian masses were recruited into the study and underwent ultrasound examination within 24 hours of surgery to apply the IOTA simple rules by general gynecologists and to record video clips for subjective assessment by an experienced sonographer. The diagnostic performance of the IOTA rules and subjective assessment for differentiation between benign and malignant masses was compared. The gold standard diagnosis was pathological or operative findings. Results: A total of 150 ovarian masses were covered, comprising 105 (70%) benign and 45 (30%) malignant. Of them, the IOTA simple rules could be applied in 119 (79.3%) and were inconclusive in 31 (20.7%) whereas subjective assessment could be applied in all cases (100%). The sensitivity and the specificity of the IOTA simple rules and subjective assessment were not significantly different, 82.9% vs 86.7% and 94.0% vs 94.3% respectively. The agreement of the two methods in prediction was high with a Kappa index of 0.835. Conclusions: Both techniques had a high diagnostic performance in differentiation between benign and malignant ovarian masses but the IOTA rules had a relatively high rate of inconclusive results. The IOTA rules can be used as an effective screening technique by general gynecologists but when the results are inconclusive they should consult experienced sonographers.

• 과학교육연구지
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• 제45권3호
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• pp.349-363
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• 2021

이 연구의 목적은 학교 STEAM 교육의 실행과 교육환경 기반을 진단하고 평가할 수 있는 학교 STEAM 교육 역량 진단 도구를 개발하는 것이다. 진단 도구의 개발은 STEAM 교육의 평가 또는 성과와 관련된 문헌 조사, 연구진의 반성적 재검토, 전문가 및 현장교사의 타당도 검증 등으로 이루어졌다. 학교 STEAM 교육 역량 진단 도구는 'STEAM 교육의 실천과 지속가능성의 계획', 'STEAM 교육과정 및 교수학습 방법', 'STEAM 학습 전문성 개발', '과정 중심 평가', '고등 교육 기관, 산업 파트너, 기술 센터와 연계 구축' 등 5개 영역과 하위영역의 총 14문항으로 구성된다. 학교 STEAM 역량 진단 도구의 타당화는 전문가의 내용 타당도 검증과 예비조사(pilot study)의 학교 교사의 실제에 의한 타당도를 통해 진행하였다. 개발된 학교 STEAM 역량 진단 도구를 활용하여 초등, 중, 고등학교 267개교를 진단한 결과, 5개 영역 평균이 1.46 ~ 2.18의 수준으로 나타났다. 이 진단 도구는 학교의 STEAM 교육의 실행 및 효과를 포괄적으로 진단·평가하고, 우리나라 STEAM 교육의 실행을 진단하고 이해하는데 기초 자료로 활용될 것으로 기대한다.

• Korean Journal of Radiology
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• 제22권8호
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• pp.1240-1252
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• 2021

Objective: To compare the accuracy for detecting breast cancer in the diagnostic setting between the use of digital breast tomosynthesis (DBT), defined as DBT alone or combined DBT and digital mammography (DM), and the use of DM alone through a systematic review and meta-analysis. Materials and Methods: Ovid-MEDLINE, Ovid-Embase, Cochrane Library and five Korean local databases were searched for articles published until March 25, 2020. We selected studies that reported diagnostic accuracy in women who were recalled after screening or symptomatic. Study quality was assessed using the Quality Assessment of Diagnostic Accuracy Studies-2 tool. A bivariate random effects model was used to estimate pooled sensitivity and specificity. We compared the diagnostic accuracy between DBT and DM alone using meta-regression and subgroup analyses by modality of intervention, country, existence of calcifications, breast density, Breast Imaging Reporting and Data System category threshold, study design, protocol for participant sampling, sample size, reason for diagnostic examination, and number of readers who interpreted the studies. Results: Twenty studies (n = 44513) that compared DBT and DM alone were included. The pooled sensitivity and specificity were 0.90 (95% confidence interval [CI] 0.86-0.93) and 0.90 (95% CI 0.84-0.94), respectively, for DBT, which were higher than 0.76 (95% CI 0.68-0.83) and 0.83 (95% CI 0.73-0.89), respectively, for DM alone (p < 0.001). The area under the summary receiver operating characteristics curve was 0.95 (95% CI 0.93-0.97) for DBT and 0.86 (95% CI 0.82-0.88) for DM alone. The higher sensitivity and specificity of DBT than DM alone were consistently noted in most subgroup and meta-regression analyses. Conclusion: Use of DBT was more accurate than DM alone for the diagnosis of breast cancer. Women with clinical symptoms or abnormal screening findings could be more effectively evaluated for breast cancer using DBT, which has a superior diagnostic performance compared to DM alone.

• 전기학회논문지
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• 제59권8호
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• pp.1423-1428
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• 2010

The results of off-line and on-line diagnostic tests performed on the stator winding of an air-cooled gas turbine(G/T) generator are reported in this paper. Off-line diagnostic tests included measurements of the ac current, dissipation factor(tan${\delta}$), and partial discharge(PD). Six epoxy-mica capacitors were installed in the three phases of G/T generator for performing on-line diagnostic testing with the turbine generator analyzer(TGA). The TGA showed that the normalized quantity number(NQN) and the PD magnitude($Q_m$) were high in phase A of the stator winding. Internal discharges were generated in phases B and C, and slot discharge occurred in phase A. According to the trend analyses of the NQN and $Q_m$ values available for insulation condition assessment for G/T generator stator windings, it was concluded that phases B and C were in good condition, whereas phase A has been significantly deteriorated.

• Asian Pacific Journal of Cancer Prevention
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• 제15권11호
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• pp.4705-4709
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• 2014

Objective: To determine the accuracy of magnetic resonance imaging (MRI) in detection of metastasis in pelvic and para-aortic lymph nodes from different gynecological malignancies. Materials and Methods: This retrospective cross sectional analytic study was conducted at the Department of Diagnostic Radiology, Aga Khan University Hospital Karachi Pakistan from January 2011 to December 2012. A sample of 48 women, age range between 20-79 years, fulfilling inclusion criteria were included. All patients had histopathologically proven gynecological malignancies in the cervix, endometrium or ovary and presented for a pretreatment MRI to our radiology department. Results: MRI was 100% sensitive and had a 100% positive predictive value to detect lymph node metastasis in lymph nodes with spiculated margins and 100% sensitive with a 75% positive predictive value to detect lymph node metastasis in a lymph node with lobulated margins. The sensitivity and positive predictive value of MRI to detect heterogeneous nodal enhancement were 100% and 75% respectively. Conclusions: Our study results reinforce that MRI should be used as a modality of choice in the pretreatment assessment of lymph nodes in proven gynaecological malignancies in order to determine the line of patientmanagement, distinguishing surgical from non-surgical cases.

• 대한전기학회:학술대회논문집
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• 대한전기학회 2001년도 하계학술대회 논문집 C
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• pp.1634-1636
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• 2001

We have developed the global assessment system for medium voltage power cable systems. Our purpose of diagnostic activity is the economic discrimination and maintenance of bad cables which is likely to cause cable system failure. We have atapted the Voltage Decay Method to construct the power cable assessment system for our diagnostic purpose. From the field application test results, we have concluded that our system is successful and convenient for the discrimination and maintenance of the damaged cables economically.

• 전기학회논문지
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• 제61권5호
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• pp.711-716
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• 2012

To assess the insulation deterioration of stator windings, diagnostic and AC breakdown tests were performed on the eleven high voltage (HV) motors rated at 6kV. After completing the diagnostic tests, the AC overvoltage test was performed by gradually increasing the voltage applied to the stator windings until electrical insulation failure occurred, to obtain the breakdown voltage. Stator winding of motors 1, 3, and 8 failed at above rated voltage at 14 kV, 13.8kV, and 16.4kV, respectively. The breakdown voltage of three motors was higher than expected for good quality windings in 6kV motors. Based on deterioration evaluation criteria, the stator winding insulation of eleven HV motors are confirmed to be in good condition. The turning point of the current, $P_{i2}$, in the AC current vs. voltage characteristics occurred between 5kV and 6kV, and the breakdown voltage was low between 13.8kV and 16.4kV. There was a strong correlation between the breakdown voltage and various electrical characteristics in diagnostic tests including Pi2.