• Title/Summary/Keyword: Examination Criteria

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Development of an Objective Structured Clinical Examination Checklist and a Post-Education Questionnaire for Musculoskeletal Ultrasound Training Focusing on Volar Wrist and Carpal Tunnel Syndrome

  • Cho, Eunbyul;Han, Young-Min;Kang, Yeonseok;Kim, Jae-Hyo;Shin, Min-Seop;Oh, Myungjin;Jung, Hyun-Jong;Jeon, Hyesoo;Cho, Nam Geun;Leem, Jungtae
    • Journal of Acupuncture Research
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    • v.39 no.2
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    • pp.105-114
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    • 2022
  • Background: The objective structured clinical examination (OSCE) is used in the colleges of Korean Medicine, but few studies have validated the OSCE evaluation criteria or post-education questionnaires. Diagnostic ultrasound is used in Korean medicine treatment including acupuncture, acupotomy, and pharmacopuncture to increase the safety and efficacy of treatment. We aimed to develop and validate a OSCE checklist and questionnaire for diagnostic musculoskeletal ultrasound training. Methods: A OSCE checklist and rubric for diagnostic ultrasound training, and questionnaire was developed using literature research. Eight expert panelists verified each draft item in a single-round survey. Items with a content validity ratio (CVR) < 0.75 were excluded or modified to reflect the experts' opinions. Results: The OSCE checklist and rubric for diagnostic ultrasound training focusing on volar wrist and carpal tunnel syndrome included: 15 items revised according to CVR and expert opinions, the pre-examination procedure, structures to be identified by ultrasound, scans with 2 diagnostic criteria for carpal tunnel syndrome, an explanation of the exam results, and the post exam procedure. The questionnaire consisted of 15 items, including the overall evaluation of training, the effect of the OSCE, and the perception of the ultrasound. All 6 self-evaluation items were not revised, as they had a CVR of ≥ 0.75. Conclusion: An ultrasound OSCE for scanning the volar wrist and diagnosing carpal tunnel syndrome was developed using 15 validated tasks, 15 survey questions about ultrasound training, and 6 questions for self-evaluation. These results may be used in the future for education in diagnostic ultrasound.

Study on Screening Examination of Small Boat Operator's Certificate of Competency (소형선박조종사 면허시험 전형제도에 관한 연구)

  • KIM, Wook-Sung;KIM, Yong-Bok;KIM, Jong-Hwa;KIM, Sung-Ki;KIM, Seok-Jae;PARK, Tae-Geon;RYU, Kyong-Jin;LEE, Yoo-Won
    • Journal of Fisheries and Marine Sciences Education
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    • v.27 no.6
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    • pp.1523-1531
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    • 2015
  • Small boat operator's certificate of competency took up 39.0% of total license holders and required for at least 19,000 boats in 2013, was proposed the improvement items by reviewing the acts and criteria related to the current test and analyzed the questions of set at examinations. About 31% of questions of the current written test are unsuitable for the target boat and operational knowledge of the operator. It is appropriate that the subject categorization criteria and contents of the subjects will be improved to include practical details related to safe ship operation, and the number of questions increased according to each subject category in amended examination after January 1st, 2017. The interview test should be improved so that the questions can be forwarded in a clear manner through formulation of practical problems, photos, etc. considering the real situations such as high age/low education status of testee and it is necessary to lengthen the interview time per testee. The test and interview personnel should consist of a human resource pool with experience in small boat operator training and workers of related areas familiar with field terminology. Furthermore, the test should be divided into small boats of 2 to 5 tons and those exceeding 5 tons according to the tonnage of small boats.

Design and Planning Criteria for the Green Buffer Zone (환경친화적 완충녹지의 기준설정)

  • 박은영;유병림
    • Journal of the Korean Institute of Landscape Architecture
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    • v.32 no.2
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    • pp.25-35
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    • 2004
  • The purpose of the study is to analyze the existing situation of the green buffer zone in the large scale industrial site and other major residential apartment areas. In this study, it is specifically intended that the planning guideline be upgraded to adopt future landuse trends and thus to suggest design criteria for management of the buffer zone. The framework of the analysis is to review the current landuse, noise reduction, ecological implications and landscape in general. Although the major function of a green buffer zone is considered to protect the residential area from various hazards of industrial, traffic, and visual environment, the situation is that most of the zones are maintained at a minimum level of services by local government. The study carried out intensively almost every type of case studied throughout the country, which implies that the management of the green buffer zone should be expanded physically enough to function for its original objectives. The study recommends that ecological management of the green buffer zone be emphasized and therefore the criteria for this purpose as well as noise issue should be developed prior to the landuse aspects. The study suggests specific guidelines for planning and design for the green buffer zone development. This study should be verified positively through the sustainable monitoring and requires nationwide and overall examination so that it may be applied to whole green spaces.

Identifying the Prevalence of Thinness, Overweight, Obesity among Adolescents: A Comparison of National and International Growth References (국내외 기준에 따른 소아청소년의 저체중, 과체중, 비만 유병률 분석)

  • Han, Chang Sook;Kim, Suhee;Kim, Hyo Kyung
    • Journal of Korean Public Health Nursing
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    • v.33 no.3
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    • pp.364-378
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    • 2019
  • Purpose: This study examined the distribution of the body mass index (BMI) according to gender and age among Korean children and adolescents to compare the distributions of being underweight, normal, overweight, and obese using both Korean and international criteria. Methods: This secondary data analysis utilized the data of the 2016 Korean National Health Examination for School Students Height, weight, and BMI distributions among children and adolescents were analyzed using descriptive statistics, and the differences in BMI distribution according to gender and age were analyzed using chi-square tests. Differences in the mean BMI according to the Korean Centers for Disease Control (KCDC), the World Health Organization (WHO), and the International Obesity Task Force (IOTF) criteria were analyzed using ANOVA. Results: Using the IOTF criteria, the prevalence of underweight, overweight, and obesity among grades 1-12 students was 6.7%, 20.8%, and 7.1%, respectively; 1.6%, 21.3%, and 11.8%, respectively, according to the WHO criteria; and 5.8%, 10.1%, and 13.0%, respectively, according to the KCDC criteria. Conclusion: It is recommended to use the IOTF criteria for health promotion programs to target underweight children and adolescents while the WHO and KCDC criteria should be used for health programs for treating obese people.

A Study on Improvement of Standard Criteria for Tactile Walking Surface Indicators (시각장애인 점자블록의 규격기준 개선방안 연구)

  • Shin, Dong Hong;Kang, Byoung Keun;Park, Kwang Jae;Kim, Sang Woon
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.21 no.1
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    • pp.67-76
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    • 2015
  • Purpose : The current tactile walking surface indicators have not been easily accessible to blind and vision-impaired people due to unexpected variation of walking environment and walking behavior of transportation poor. Moreover, those indicators frequently cause the inconvenience to transportation users' walking. Thus, this study aims to investigate the improvement of tactile walking surface indicators, by comparing and analyzing findings from the relevant research. Results from this study contribute to suggest the better standard criteria of tactile walking surface indicators for transportation users, especially blind and vision-impaired people, the handicapped, the child and the elderly and weak, providing the secure and convenient circumstance for walking. Method : This study presents the problems about the standard criteria of tactile walking surface indicators via the examination of finding from the past studies. For example, we examine all standard criteria, focusing on shapes, colors and qualities of materials used for Tactile Walking Surface Indicators. Then, the present study suggests the improvement of standard, which apply to the current walking environment practically and reasonably. Results : To improve the current condition of tactile walking surface indicators, the analysis on international and domestic standard criteria need to be conducted. Findings from these analyses helps to suggest the better criteria for the interval between projecting points of tactile walking surface indicators, effective perceived range of walking road, and the brightness contrast between tactile walking surface indicators and finishing materials. Implication : The suggested standard criteria of tactile walking surface indicators need to be tested by transportation users, and the practical instructions of establishing tactile walking surface indicators should also be developed.

A proposal of spirometry reference equations for Korean workers

  • Yonglim Won;Hwa-Yeon Lee
    • Annals of Occupational and Environmental Medicine
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    • v.34
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    • pp.14.1-14.14
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    • 2022
  • Background: Although spirometry results can be interpreted differently depending on the reference equation used, there are no established criteria for selecting reference equations as part of the special health examinations for Korean workers. Thus, it is essential to examine the current use of reference equations in Korea, quantify their impact on result interpretation, and propose reference equations suitable for Korean workers, while also considering the environmental conditions of special health examination facilities. Methods: The 213,640 results from the special health examination database were analyzed to identify changes in the ratio of measured values to reference values of lung capacity in Korean workers with changes in age or height, and changes in the agreement of interpretations with the reference equation used. Data from 238 organizations that participated in the 2018-2019 quality control assessment by the Korea Occupational Safety and Health Agency were used to identify the spirometer model and reference equations used in each special health examination facility. Results: Korean special health examination facilities used six reference equations, and the rate of normal or abnormal ventilatory diagnoses varied with the reference equation used. The prediction curve of the Global Lung Function Initiative 2012-Northeast Asian (GLI2012) equation most resembled that of the normal group, but the spirometry model most commonly used by examination facilities was not compliant with the GLI2012 equation. With a scaling factor of 0.95 applied to the Dr. Choi equation, the agreement with the GLI2012 equation was > 0.81 for men and women. Conclusions: We propose the GLI2012 equation as reference equation for spirometry in Korean workers. The GLI2012 equation exhibited the most suitable prediction curve against the normal lung function group. For devices that cannot use the GLI2012 equation, we recommend applying a scaling factor of 0.95 to the Dr. Choi equation.

A Proposal for Standardization of Tongue Diagnosis Based on Diagnostic Criteria of Tongue Coating Thickness (설진의 표준화를 위한 제언 : 설태 후박의 진단기준을 중심으로)

  • Son, Ji-Hee;Kim, Jin-Sung;Park, Jae-Woo;Ryu, Bong-Ha
    • The Journal of Internal Korean Medicine
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    • v.33 no.1
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    • pp.1-13
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    • 2012
  • Background : In oriental medicine, the status of the tongue is an important indicator to diagnose the condition of one's health, such as physiological and the clinicopathological changes of internal organs. A tongue diagnosis is not only convenient but also non-invasive, and therefore widely used in Oriental medicine. However, the tongue diagnosis is greatly affected by examination circumstances, patient's posture, and doctor's diagnosis criteria. Objectives : This study was designed to assure the necessity for standardization of tongue diagnosis based on diagnostic criteria of tongue coating thickness (TCT). Methods : Thirty tongue photographs were acquired and analyzed by digital tongue diagnosis system (DTDS) which measured the percentage of TCT on the tongue surface. Fifteen oriental medical doctors evaluated TCT in 30 photographs. Afterward, the 15 assessors were trained for diagnostic criteria of TCT and evaluated the photographs again. The intraclass correlation coefficient (ICC) was used to obtain the agreement rate among the 15 assessors and the agreement rate between assessors' TCT scores and DTDS values. Results : The agreement rate among the 15 assessors after training was higher than before training. The agreement rate between assessors' TCT scores and DTDS values after training was also higher than before training. Furthermore, the difference of the agreement rate between before and after training was significant (p<0.05). Conclusions : The standardization of diagnostic criteria of TCT increased the agreement rate among the assessors and the agreement rate between assessors' TCT scores and DTDS values. Therefore, the standardization of diagnostic criteria is expected to contribute to the objectification and quantification of the tongue diagnosis system.

The Effect of Partner Selection on the Performance of International Strategic Alliances: The Examination of Moderating Process of Previous Experience (제휴파트너 선정성향이 제휴성과에 미치는 영향에 관한 연구: 제휴경험의 조절효과를 중심으로)

  • Ahn, Sun Yub;Hyun, Jae Hoon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.12
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    • pp.6204-6210
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    • 2013
  • This study examined adomestic firm's perspective on how their choice of partner selection criteria affects the mediating variables and the performance of international strategic alliances with particular reference to previous experience as a moderating variable. The findings of this study showed that the task-related and partner-related criteria are both positively related to trust and commitment but the results concerning the partner-related criteria repudiates the existing practices that domestic firms select foreign partners based on the partners' attributes because this weaken the commitment of the partnership. This study suggests that firms should revise their partner selection criteria, which will eventually lead to the more desirable performance of international strategic alliances.

A Development of Evaluation Criteria for the Expressway Service Areas From Users Point of View (고속도로 휴게시설 이용자측면의 서비스 평가지표 개발)

  • Kim, Hyung-Kyu;Chio, Hyoung-Sun;Park, Wan-Yong;Won, Jai-Mu
    • International Journal of Highway Engineering
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    • v.14 no.3
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    • pp.121-130
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    • 2012
  • This study develops the evaluation model which is for assessing on the side of users in expressway service areas. The direction of development on Evaluation Criteria is all about on the side of necessity of service area users, the reflection of current conditions, the construction of total evaluation criteria, and the examination of connecting study with current study. After that, this study examines previous evaluation criterias and researchers will select the primary provision of evaluation through FGI, and they derive the final evaluation criteria throughout the verification of suitability on Evaluation Criteria. Throughout AHP analysis which is a professional survey system of users, researchers derive on the side of facilities, on the side of operations, on the side of environments, and on the side of services in order by the weightings.

Suspected Idiopathic Acute Transverse Myelitis : Retrospective Analysis of 27 Cases (특발성 급성 횡단성 척수염 : 27예의 후향적 분석)

  • Han, Dong-Chul;Kim, Jae-Hyuk;Shin, Dong-Jin;Park, Hyeon-Mi;Lee, Yeong-Bae
    • Annals of Clinical Neurophysiology
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    • v.8 no.1
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    • pp.58-62
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    • 2006
  • Background: Acute transverse myelitis(ATM) is a group of disorders characterized by focal inflammation of the spinal cord and resultant neural injury. It can be diagnosed by Transverse Myelitis Consortium Working Group(TMCWG) criteria. But there are some cases which were not satisfied with idiopathic ATM criteria, both clinically and radiologically, especially in acute stage. So we analyzed 27 cases retrospectively, which were diagnosed as idiopathic ATM. Methods: All the records of the patients at Gil Medical Center with a diagnosis of idiopathic ATM from 2001 to 2005 were reviewed. And clinical manifestations including neurological examination, radiologic features and cerebrospinal fluid (CSF) findings were analyzed. Results: Among the patients(20 men and 7 women; mean age, 45.3 years), 11 cases could not be diagnosed as idiopathic ATM according to the TMCWG criteria ; 6 cases did not have well marginated upper sensory level and 5 cases were not satisfied with spinal cord inflammation. Conclusions: Although most cases of suspected idiopathic ATM were suitable for TMCWG criteria, some cases were not satisfied with this diagnostic criteria, especially in acute stage. Subsequent study might be needed to evaluate the reliability and clinical application of the criteria.

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