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Construct Validity of a Korean Version of the WHOQOL-BREF and EQ-5D Questionnaire Applied on Various Cancer Survivors Undergoing Palliative Rehabilitation Programs

  • Choi, Bong-sam
    • Physical Therapy Korea
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    • v.27 no.3
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    • pp.212-219
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    • 2020
  • Background: Although the original version of the health-related quality of life (HRQOL) questionnaires are found to be acceptable, the cross-culturally adapted versions may not be comparable to their original version. Objects: To examine dimensionality and construct validity of two Korean versions of the brief version of the World Health Organization Quality of Life (WHOQOL-BREF) and EuroQOL-5 dimension (EQ-5D) questionnaires. Methods: A total of 77 cancer survivors undergoing palliative rehabilitation programs from two rehabilitation institutes was recruited from April 16, 2018 to June 26, 2019. The WHOQOL-BREF and the EQ-5D were filled out by the various cancer survivors following a particular session of rehabilitation programs. The scores were analyzed with Winsteps Rasch analysis computer program using the rating scale model. Rasch fit statistics were used to determine the dimensionality and the item difficulty calibrations of WHOQOL-BREF and EQ-5D. Results: All items except two, negative feeling, need treatment function and pain prevent activity (mean square [MnSq] = 2.42, 1.82 and 2.51, respectively), were found to be acceptable, while two items of the EQ-5D, anxiety/depression and self-care, were misfit (infit MnSq = 1.65 and 0.38, respectively). Item difficulty calibrations of WHOQOL-BREF match person ability measures (i.e., HRQOL) fairly well. However, the person ability distribution showed obvious ceiling effects for EQ-5D. All items of EQ-5D were appeared to be less challenged in comparison with those of WHOQOL-BREF. Conclusion: Item-level analysis using the Rasch model supports the quality of culturally adapted items used to measure the HRQOL one exception; that is, whether or not to include misfit items as part of the HRQOL measurements. Additionally, cancer survivors undergoing palliative rehabilitation programs appear to have more of a tendency to view the EQ-5D items as being more challenging than the WHOQOL-BREF.

Convergence Study on the Related Risk Factors of Elderly's Suicidal Ideation Based on the 6th Korea National Health and Nutrition Examination Survey (제6기 1차년도 (2013) 국민건강영양조사로 추정한 노인의 자살생각 관련 요인에 관한 융합연구)

  • Kim, Bog-Ja
    • Journal of Digital Convergence
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    • v.14 no.11
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    • pp.27-35
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    • 2016
  • The study was conducted to identify related risk factor of elderly's suicidal ideation. This study used a cross-sectional design with secondary analysis of the $6^{th}$ 2013 Korea National Health and Nutrition Examination Survey (KNHANES). Data for 1,201 elderlies who aged over 65 years old from the KNHANES were included. Suicidal ideation, general characteristics, physical health, psychological health, EuroQoL, and health behavior were measured. Chi-square test, t-test, and multiple logistic regression were used to analyze this data through the SPSS win 22.0 program. In the results, 7.7% of the elderly had suicidal ideation. The odds ratios of suicidal ideation were significantly higher among those with restriction of activity (OR=1.31, CI=1.40~3.82), those with depression (OR=4.44, CI=1.66~7.40), and those with high levels of stress (OR=9.24, CI=3.48~24.5). Therefore, the activity level, depression level, and stress level need to be regularly assessed in order to prevent suicidal ideation among the elderly.

A Study on the Enhancement of Fire Resistance Function in Primary Structure Department of Building Type Traditional Market (건물형 전통시장 화재발생시 피난안전성 확보를 위한 규모별 주요구조부 내화보강 연구)

  • Jang, Hye-Min;Hwang, Jung-Ha
    • Fire Science and Engineering
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    • v.34 no.4
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    • pp.87-95
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    • 2020
  • This study evaluates the safety of an asylum through a fire simulation of building Type traditional markets. We derive the building's indoor temperature, use the observed variation in temperature gradient to calculate the temperature of the main structure, and finally compares the time required to attain the limit temperature of the structure its time of escape. To ensure improved security of the asylum, the government has proposed a fire-resistance improvement plan for the major structural parts of buildings are not safe with thickness of 0.01 m and 0.035 m. F.ire-resistance reinforcement for small - and medium-sized vehicles is more than 0.025 m, in thickness; moreover safety can be ensured for medium and large-sized vehicles fire using fire resistant reinforcement of over 0.035 m. Accordingly, in order to ensure the safety of an asylum, fire-resistant reinforcement measures may be considered.

웹사이트 접근성 자동화 평가 도구의 개선 방안에 관한 연구

  • 홍순구;이대형
    • Proceedings of the Korea Association of Information Systems Conference
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    • 2005.12a
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    • pp.97-109
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    • 2005
  • 노인 인구의 급격한 증가와 인터넷을 통한 정보획득의 보편화로 인하여 웹 접근성의 중요성이 부각되고 있다. 웹 접근성이란 "경제적, 지역적, 신체적, 사회적 한계로 인해 정보서비스를 받기 어려운 자들에 대한 정보 통신망의 자유로운 접근과 이용" 을 의미한다 정부기관이 선도하여 웹사이트를 통해 보다 편리하고 좋은 서비스를 국민에게 제공하려는 전세계적인 노력에도 불구하고 장애인이나 노인들에게는 아직도 웹사이트의 접근이 용이하지 못한 실정이다. 이는 웹 접근성의 문제를 발생시키는 근본 원인 중 하나인 웹 접근성(Web Accessibility)에 대한 개념 이해 및 현재 사용되는 웹사이트의 접근성 만족 유무를 정확하게 평가할 수 있는 평가 방법의 부재에 기인한다. 현재까지 웹 접근성 평가는 표준 평가항목인 W3C의 웹 접근성 지침(Web Contents Accessibility Guideline 1.0, 이하 WCAG 1.0)을 기반으로 만들어진 자동화 평가도구를 이용하여 대부분 이루어져 왔다. 자동차 평가도구를 이용한 웹 접근성 평가 방법은 평가가 용이하고 평가결과의 정량화로 인해 연구의 객관성을 높일 수 있다는 장점이 있다. 그러나 선행연구와 실험을 통해 자동화 평가도구의 문제점이 지적되고 있다. 예를 들어 전문가가 직접 스크린 리더를 통해 계산한 접근성 오류와 자동화 도구가 계산한 접근성 오류와는 많은 차이를 보이고 있다. 기존 연구에서는 자동화 평가도구의 문제점을 보완하기 위해 전문가가 직접 평가하는 매뉴얼 평가방식과의 병행을 제시하고 있으나, 근본적인 문제점을 해결하고 이를 개선할 수 있는 연구가 필요하다. 따라서 본 연구에서는 "한국형 웹 콘텐츠 접근성 지침(TTAS.0T-10.0003)"을 기본으로 하여 "EuroAccessibilty Consortium" 에서 고려하고 있는 "testable statement" 으로 통합 보안한 접근성 체크항목의 재구성과 함께 "자연어 처리" 알고리즘을 적용하여 자동화 평가도구의 개선 방안을 제시한다. 아직까지 제시된 개선방안의 적용 및 검증이 이루어지지 않아 한계점을 가지고 있으나 자동화 평가도구의 개선방안에 대한 제안은 향후 연구의 기초자료로 활용 가능할 것이며 많은 후속연구를 유발할 것으로 기대한다.

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A study on woman's coat -From world war 1 to 1960's - (코트(COAT)의 형태별 분석에 관한 연구 - 제1차 세계대전 이후 1960년대 까지를 중심으로 -)

  • 김문숙
    • Journal of the Korean Home Economics Association
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    • v.24 no.1
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    • pp.28-41
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    • 1986
  • In the history of costume, coat can be traced up to ancient Persia but it was generalized as today's style around 14th an d15th century in Euro[pe. World wars, revolutions and rapid social changes of the last 80 years have produced more changes in the way people dress than any comparable period in history. Thewse changes enabled emergence of more modernized woman's garments and through it, dress and coat ensemble became public's main fashion. In 1920's after world war I, boyish style in woman's garment was in vogue. Woman's coat was also in the same style with length sortened up to the knee level and silhoutte was straighter and semi-fitted than previous period. Length of the coat was longer in late 1930's but shortened again in 1940's. And the most popular silhouette of both 30's and 40's was shape of the hourglass which was commonly called the "X-shape". Also double=breasted coat with fitted waistline, belt and flare skirt was in vogue. In 1950's and 60's, with the variety of lines in woman's garments, silhouette of the coat also appeared in many different forms. Along with the various shapes, color of the coat changed throughout the decades : dark colors in 20's, bright colors in 30's, mixed colors of 20's and 30's in 40's and in 50's, color had changed to archromatic. In fabric, wool was most popular in all periods. However, such gabrics as tweed, cotton, gaberdine, linen were added to give variety. It is very interesting to see collars trimmed with expensive furs were very popular in 20's and 30's but it almost disappeared in 40's and fur trimming reappeared in late 50's. In addtion to silhouette changes in design, details such as buttons, epaulettes, pockets and fur trimming of hemline were emphasizing points of varieties in design. This study has set time limits world war I which was the period coat became major fashion of woman's clothing, to 1960's.

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A Study on the Optimization of Combustion and Emission Performance in a Heavy-duty HCNG Engine (Heavy-duty HCNG엔진의 연소 및 배기성능 최적화에 관한 연구)

  • Choi, Young;Park, Chul-Woong;Won, Sang-Yeon;Kim, Chang-Gi
    • Journal of the Korean Institute of Gas
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    • v.15 no.2
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    • pp.15-20
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    • 2011
  • Although CNG is able to meet the current emission standards, it is expected to be impossible to satisfy the requirements of the next EURO-6 emission regulation without an additional after-treatment device. Hydrogen is known to be a gaseous fuel which features the wide flammability limit and the fast reactivity. A certain amount of hydrogen addition to CNG is able to extend the lean combustion range and produce lesser amounts of harmful emissions. In this research, the combustion and emission characteristics of HCNG(mixture of Hydrogen and CNG) fuel were experimented in an 11-liter heavy duty lean burn engine varying hydrogen contents, air-to-fuel ratio and spark timing. The optimization of this HCNG engine for a city bus was performed through the evaluations of oxidation catalyst characteristics.

Fuel Consumption and CO2 Characteristics of HCNG Bus (HCNG 버스의 연비와 CO2 배출특성)

  • Han, JO;Kim, YC;Lee, YC
    • Journal of the Korean Institute of Gas
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    • v.21 no.2
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    • pp.20-25
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    • 2017
  • For the HCNG bus using fuel which is the mixture gas of hydrogen and natural gas, the fuel efficiency and $CO_2$ emission characteristics were analyzed based on the WHVC test results and compared with that of the CNG and diesel buses. $CO_2$ emission characteristics were also analyzed by contribution effects such as carbon emission factor and fuel consumption. As a result, the fuel economy of HCNG bus was evaluated to be 11.5% improvement compared to CNG bus, and it was also showed equivalent to diesel bus. In addition, the $CO_2$ emission of HCNG bus was reduced 20.4% and 34.5% compared to CNG bus and diesel bus respectively. It was concluded that the $CO_2$ emission characteristics were influenced by the carbon emission factor depending on fuel composition and the fuel consumption according to the engine performance.

Standardization of composite connections for trapezoid web profiled steel sections

  • Saggaff, A.;Tahir, M.M.;Sulaiman, A.;Ngian, S.P.;Mirza, J.
    • Structural Engineering and Mechanics
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    • v.55 no.4
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    • pp.765-784
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    • 2015
  • Connections are usually designed either as pinned usually associated with simple construction or rigid normally is associated with continuous construction. However, the actual behaviour falls in between these two extreme cases. The use of partial strength or semi-rigid connections has been encouraged by Euro-code 3 and studies on semi-continuous construction have shown substantial savings in steel weight of the overall construction. Composite connections are proposed in this paper as partial or full strength connections. Standardized connection tables are developed based on checking on all possible failure modes as suggested by "component method" for beam-to-column composite connection on major axis. Four experimental tests were carried out to validate the proposed standardised connection table. The test results showed good agreement between experimental and theoretical values with the ratio in the range between 1.06 to 1.50. All tested specimens of the composite connections showed ductile type of failure with the formation of cracks occurred on concrete slab at maximum load. No failure occurred on the Trapezoidal Web Profiled Steel Section as beam and on the British Section as column.

The Quality of Life and Health Behavior Among the Elderly in Long Term Care Insurance Based on Korea National Health and Nutrition Examination Survey (KNHANES) (노인들의 건강행태와 삶의 질 수준 -국민건강·영양조사 중 노인장기요양보험 수혜 대상자를 중심으로-)

  • Yoon, Tae-Hyung;Chon, Seung-Ehul;Yi, Chung-Hwi
    • Physical Therapy Korea
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    • v.16 no.3
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    • pp.69-78
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    • 2009
  • The purpose of this study was to assess the level of quality of life and related factors among the elderly in Korea. In particular, we focused on factors affecting the quality of life of the elderly in long term care. We used the third Korean National Health and Nutrition Examination Surveys (KNHANES) from 2005. We sampled a total of 3,571 (10.5%) elderly from the national survey. We compared the mean of quality of life to socioeconomic status, Activities of Daily Living (ADL), health behavior, and disease variables. We used EuroQol-5D among KNHANES to assess the quality of life. In this study, the mean score of the quality of life among the elderly was 2.57. Logistic regression showed that the elderly who were male, with spouses, with health insurance, and with good ADL levels enjoyed higher quality of life scores and odds ratios than those who were female, divorced, uninsured, and with low ADL levels (p<.05). The quality of life of the elderly was affected by socioeconomic, ADL, health behavior and disease variables. To improve long term care and the quality of life among the elderly, we need detailed research to clarify the effects of these factors.

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Forty-one Cases of Rotator Cuff Injuries Treated by Complex Korean Medicine Treatment: A Retrospective Review (한방 복합치료를 진행한 회전근개 파열 환자 치험 41예: 후향적 관찰 연구)

  • Lee, Gi-Eon;Kim, Young-Ik;Jo, Kyeong-Sang;Han, Si-Hoon;Kim, Min-Kyun;Min, Boo-Ki;Huh, Suk-Won;Lim, Han-Bit;Jeong, Yun-Jae
    • Journal of Korean Medicine Rehabilitation
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    • v.28 no.4
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    • pp.81-87
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    • 2018
  • Objectives The purpose of this study is to report the improvement of complex Korean Medicine treatment for patients with rotator cuff injuries and determine the clinical improvement by number of damaged lesion. Methods Forty-one patients who diagnosed with rotator cuff injury were included in the retrospective study. Patients were treated with acupuncture, electroacupuncture and pharmacopuncture. Clinical outcomes were assessed using Numeric Rating Scale (NRS), Shoulder Pain and Disablity Index (SPADI) and EuroQol-5 Dimension Index (EQ-5D Index). Results Both NRS and SPADI scores were significantly reduced after treatment (p<0.01), but EQ-5D for assessing quality of life and clinical improvement by number of damaged lesion were no significant improvement (p>0.05). Conclusions These results show that patients with rotator cuff injuries could gain improvement from complex Korean Medicine. Further research is required to confirm the effectiveness of Korean Medicine treatment.