• Research in Vestibular Science
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• 제17권4호
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• pp.152-159
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• 2018

Objectives: The Korean Dizziness Handicap Inventory (KDHI), which includes 25 patient-reported items, has been used to assess self-reported dizziness in Korean patients with Parkinson disease (PD). Nevertheless, few studies have examined the KDHI based on item-response theory within this population. The aim of our study was to address the feasibility and clinimetric properties of the KDHI instrument using polytomous Rasch measurement analysis. Methods: The unidimensionality, scale targeting, separation reliability, item difficulty (severity), and response category utility of the KDHI were statistically assessed based on the Andrich rating scale model. The utilities of the orderedresponse categories of the 3-point Likert scale were analyzed with reference to the probability curves of the response categories. The separation reliability of the KDHI was assessed based on person separation reliability (PSR), which is used to measure the capacity to discriminate among groups of patients with different levels of balance deficits. Results: Principal component analyses of residuals revealed that the KDHI had unidimensionality. The KHDI had satisfactory PSR and there were no disordered thresholds in the 3-point rating scale. However, the KDHI showed several issues for inappropriate scale targeting and misfit items (items 1 and 2) for Rasch model. Conclusions: The KDHI provide unidimensional measures of imbalance symptoms in patients with PD with adequate separation reliability. There was no statistical evidence of disorder in polytomous rating scales. The Rasch analysis results suggest that the KDHI is a reliable scale for measuring the imbalance symptoms in PD patients, and identified parts for possible amendments in order to further improve the linear metric scale.

• 정신신체의학
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• 제30권2호
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• pp.137-144
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• 2022

연구목적 본 연구는 정신건강의학과 환자의 수면의 질이 우울 증상에 미치는 영향과 모호함에 대한 해석 편향과 불안증상의 매개효과를 확인하고자 하였다. 방 법 한양대학교 구리병원 정신건강의학과의 외래 환자와 입원 환자를 대상으로 축적된 자료를 사용하였으며, 측정 도구로는 피츠버그 수면의 질 척도(Pittsburgh Sleep Quality Index), 모호한 상황에서의 시나리오 척도(Ambiguous/Unambiguous Situations Diary-Extended Version, AUSD-EX), 아동기 외상설문지(Childhood Trauma Questionnaire), 백 불안 척도(Beck Anxiety Inventory), 백 우울 척도(Beck Depression Inventory-II)가 사용되였다. 162명의 자료를 기초로 SPSS 25.0과 SPSS Macro를 사용하여 상관분석과 Bootstrapping 분석이 실시되었다. 결 과 연구 결과, 수면의 질과 우울 증상의 관계에서 모호함에 대한 해석 편향과 불안 증상의 이중 매개효과가 유의하게 나타났다. 결 론 본 연구는 낮은 수면의 질이 모호함에 대한 해석 편향을 거쳐 불안 및 우울 증상에 순차적으로 영향을 미친다는 점을 확인하였다. 이를 바탕으로 선행 증상에 대한 치료적 개입을 우선적으로 실시함으로써 다른 정신과적 증상 발달을 예방할 수 있을 것으로 기대된다.

• 한국축산시설환경학회지
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• 제17권3호
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• pp.155-162
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• 2011

기후변화협약 대응을 위해 IPCC 온실가스 인벤토리 가이드라인에 따라 축산분야 온실가스인 $CH_4$, $N_2O$가스의 배출량을 평가하고 배출계수를 산출하여 국가 Database 확보 및 측정기준을 제시하기 위하여 본 연구를 수행하였다. 본 연구에서는 돈사 슬러리 피트에 샘플링 챔버를 설치 운영하기 위해 돈분뇨위에 띄울 수 있는 반구형태의 플로팅 챔버(Open chamber method or flow-through steady-state)를 고안 제작하였다. Open chamber method의 특성상 외부의 공기를 일정한 제어를 통해 챔버내로 유입시켜 돈사 슬러리에서 발생된 가스를 희석하고 정상상태의 최적조건에서 발생된 가스의 일정량을 제어하여 포집하는 장치로 시스템을 구성하였다. 돈분뇨 슬러리에서 온실가스 발생 특성상 돈사 내부에 위치에 따라 10개의 챔버를 투입하여 Data의 신뢰성을 갖출 수 있게 하였다. 유입유량을 $5{\sim}9{\ell}/min$, 포집유량을 $1{\ell}/min$으로 변경하면서 포집된 가스를 GC/ECD를 통해 분석하였고 챔버로 유입되는 공기가 슬러리 표면을 직접 접촉하지 않는 방법으로 기구를 구성하고 잉여 공급공기는 챔버 상부를 통해 외부로 배출하는 방법으로 최적조건의 정상상태 온실가스를 샘플링 할 수 있었다. 포집 가스를 GC/ECD 분석결과 $N_2O$ 가스의 배출형태는 대기중의 신선한 공기에 포함된 $N_2O$ 농도와 돈사 10곳의 샘플링 가스 시료의 농도를 볼 때 오차 범위 안의 농도로 슬러리 돈사내 분뇨에서는 $N_2O$의 발생은 없다고 판단된다. $CH_4$ 가스 발생량은 $0.15{\sim}1.02mg/m^2{\cdot}s$로 나타났다.

• 한국환경과학회지
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• 제23권7호
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• pp.1339-1347
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• 2014

This study were performed on roadside buffer green in Songpa-dong, Songpa-gu, Seoul in order to analyze the anion concentration according to the type of composition of roadside buffer green. Buffer green separating the physical structure of the measurement points and measurement locations were separated by roadside, green interior, the other side of the road. planting density and deposit of trees per each buffer green was measured in the order of mounding type> slope type> the plain type. If the measured temperature of the location-specific weather elements roadside> inside> the other side of the road in order of measurement and the temperature is lowered farther away from the road. If the relative humidity of the road on the other side> inside> the roadside in order to measure and this is the opposite of the temperature tendency. According to physical structure reduction of the temperature on the other side of the road and roadside in order of mounding type> the plain type> slope type was measured. As a result of measuring a anion therefore concentration of the anion inside of melt is in order of mounding type> the plain type> slope type, tended to match the melt characteristics. According to measured positions anion concentration is in the order of the other side of the road> inside> the roadside was measured. As a result of correlation analysis, in the case of measurement location-specific weather and anions the temperature is positive correlation, relative humidity is negative correlation and that's results of previous studies were supported.

• 대한간호학회지
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• 제45권6호
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• pp.928-938
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• 2015

Purpose: This study explored the effects of neurofeedback training on Electroencephalogram (EEG), Continuous Performance Task (CPT) and ADHD symptoms in ADHD prone college students. Methods: Two hundred forty seven college students completed Korean Version of Conners' Adult ADHD Rating Scales (CAARS-K) and Korean Version of Beck Depression Inventory (K-BDI). The 16 participants who ranked in the top 25% of CAARS-K score and had 16 less of K-BDI score participated in this study. Among them, 8 participants who are fit for the research schedule were assigned to neurofeedback training group and 8 not fit for the research schedule to the control group. All participants completed Adult Attention Deficiency Questionnaire, CPT and EEG measurement at pretest. The neurofeedback group received 15 neurofeedback training sessions (5 weeks, 3 sessions per week). The control group did not receive any treatment. Four weeks after completion of the program, all participants completed CAARS-K, Adult Attention Deficiency Questionnaire, CPT and EEG measurement for post-test. Results: The neurofeedback group showed more significant improvement in EEG, CPT performance and ADHD symptoms than the control group. The improvements were maintained at follow up. Conclusion: Neurofeedback training adjusted abnormal EEG and was effective in improving objective and subjective ADHD symptoms in ADHD prone college students.

• 동의신경정신과학회지
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• 제24권spc1호
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• pp.23-36
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• 2013

Objectives : The purpose of this guideline is to show the evidence-based guidelines of diagnosis and evaluation of Hwabyung by the synthesis and organization of existing research contents. Methods : We investigated the existing research on the concept of Hwabyung. Further, we investigated the diagnostic tools, self-diagnostic method, symptoms assessment tools, oriental medical diagnostic methods, treatment evaluation tools and other testing methods of Hwabyung. Results : There was a Hwabyung diagnostic interview schedule (HIBDS) in the standardized measure for the diagnosis of Hwabyung. In the symptoms assessment tools of Hwabyung, there was a self-report measurement tool of Hwabyung and measurement tool of Hwabyung to be evaluated by the interviewer. In the oriental medical diagnostic method, there was an instrument of pattern identification for Hwabyung. In the treatment assessment tool, there was an instrument of oriental medical evaluation for Hwabyung. In addition, MMPI, SCL-90R, Zung's self-rating anxiety scale (SAS), Zung's self-rating depression scale (SDS), State-Trait Anger Expression Inventory (STAXI) and etc. can be used for the diagnosis and assessment of Hwabyung. Conclusions : We expect 'Clinical Guidelines for the Treatment of Hwabyung' to be useful for the diagnosis and assessment of Hwabyung.

• 간호행정학회지
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• 제15권3호
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• pp.305-313
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• 2009

Purpose: This study was done to identify the current status of burnout research on Korean nurses and to suggest the directions for future research. Method: Fifty two articles between 1998 and 2007 were selected using the key words such as "Nurse" and "Burnout" from the database (RISS4U et al.). Results: 77.9% of studies were master's theses unpublished in the nursing journals. All studies were cross-sectional and therefore did not allow casual inference. Hospital nurses were the most common subjects (21 studies). The most frequently used burnout measurement instrument was the Burnout Measure, while the Maslach Burnout Inventory was used in only 6 studies. 55.7% of studies reported the average burnout score as higher than the middle level. Among individual factors, variables significantly correlated to burnout were age, position, work experience, coping, and personality. Some of job factors including shift work, workloads, job stress, and organizational commitment were also significantly related to burnout. There was very little discussion about the influence of organizational factors analyzed by unit or institution level. Conclusion: In Korea, the next phase of nurse burnout research needs to consider the measurement tool selection for the international comparison and longitudinal design to find more specific causal relationships.

• 대한간호학회지
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• 제26권4호
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• pp.868-877
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• 1996

This study was done to analyze research trends and to suggest future perspectives for nursing research on fatigue. The author reviewed 31 Korean and foreign research papers which have been published in the literature since 1970. An analysis of the study focused on the type of research subjects, type of study design. measurement instrument, and its correlated parameters. The results of the study are summarized as follows : First, within all of the studies analayzed, 14 studies were publised in Korea and 17 were published abroad. The number of studies done abroad have been increasing rapidly since 1991. Second, an analysis of the research design of the studies showed, eight studies each, Korean and foreign used survey design. Two Korean studies and seven foreign studies used a correlational design. Four comparative studies were done in Korea, but only two experimetal studies were performed abroad. Therefore, it was found that the trend of the study design used is survey design and there are more correlational studies done abroad than in Korea. Third, the type of the study subjects ; 11 Korean and three foreign studies dealt with healthy people. In addition, three Korean and 14 foreign studies investigated patients with various illnesses. It was found that patients with various illnesses were studied more frequently in foreign studies than in Korean studies. Fourth, the measurement tool used in the Korean studies ; 13 studies used a testible tool to assess patients' subjective symtoms or complaints of fatigue. The most commonly used tool used in 10 studies, was the Fatigue Self-Perception Scale, which was designed by the Labor and Health Institute of Japan. The Visual Analogue Scale was used in two studies, and Piper Fatigue Scale, addtional with physiologic parameters, was used in one study. In the foreign studies, subjective measurement tools were used in 16 studies. A combination of a subjective measurement tool with objective parameters was used in ten studies. For the subjective measurement tool used in the foreign studies, a specific measurement tool developed by the researcher which was used in seven studies. Either Rhoten Fatigue Scale or the Visual Analog Scale were used in three studies. Additionally, in order to identify the relationship between fatigue and psychological factors, The Profile of Mood State was used in three studies. Beck Depression Inventory was used in two studies. The Self Rated Depression Scale, developed by Zung, was used in one study and other measurement tools were used to measure various psychological parameters. Rhoten fatigue Checklist was also used to observe behavior patterns. Lastly, nine studies identified correlations between fatigue and other parameters. A significant correlation was found between fatigue and psychological factors such as depression, and pain. As a result of the above findings, it can be said that research trends on fatigue are increasing internationally. The selected study designs are survey studies both in Korea and abroad. There are more correlational studies abroad than in Korea. In addition, subjective measurement tools and objective parameters are used variously and combined with each other. had, there is a significant correlation between fatigue and psychological factors such as depression, and pain. More survey and correlational studies need to be done to identify the relationship of fatigue in patients with various condition or diagnoses and to suggest a scientific basis for nursing interventions with fatigue. Also, a tool to assess patient's subjective, objective, and behavioral aspects on fatigue needs to be developed.

• 아동학회지
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• 제27권2호
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• pp.127-151
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• 2006

This study examined ethical dilemmas experienced by child-counselors and coping behaviors they practiced in context. The analysis was performed for 30 child-counselors in Seoul and Kyunggi-do, Participants were asked to describe a self-report in an interview with the main researcher. Data were categorized, quantified and examined in terms of five ethical dimensions derived from antecedent research. The five ethical dimensions are "confidentiality and protection of privacy", "professional competence", "informed consent", "informing clients of the nature of treatment modality", and "adequacy and effectiveness of treatment". This study contributes basic data for the development of an inventory for the measurement of ethical practice for child counselors.

• 대한가정학회지
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• 제33권1호
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• pp.83-98
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• 1995

The purpose of this study was to identify the influence of adolescent-percived family cohesion on adolescent adjustment. The 443 subjects were selected were selected randomly from the second grade of middle and high schools in the city of Taegu. The instruments of measurement were FACES lll, State-Trait Anxiety Inventory, Depression Scale, and Self-Esteem Scale. Factor analysis, Cronbach's α, MANOVA, and Scheffe test were conducted for the data analysis. The major findings of this study were as follows: The degree fo adolescent adjustment could be different according to the level of family cohesion. Especially, adolescents who perceived their families as high in cohesion felt anxiety and depression less, and had high selt-esteem in comparison with other levels of cohesion.