• Title/Summary/Keyword: Measurement criteria

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The Difference in Attitude toward Medical Care between Patients and Physicians (환자와 의사의 의료에 대한 태도 차이 -한 중소도시의 대학병원과 한의과대학 부속 한방병원을 중심으로-)

  • Kang, Myung-Guen;Park, Jong-Ku;Kim, Han-Joong;Sohn, Myong-Sei;Kim, Dal-Rae
    • Journal of Preventive Medicine and Public Health
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    • v.31 no.3 s.62
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    • pp.516-539
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    • 1998
  • The objective of this study is to identify the difference in attitude toward medical care between patients who visited a university hospital or an oriental medical hospital of oriental medical college, and physicians who engaged in the same hospitals. The subjects of this study were 397 cases who agreed to respond the prepared questionnaire, including 288 patients(146 university hospital utilizers and 142 utilzers for an oriental medical hospital) and 109 physicians(76 physicians and 33 oriental medical doctors). The attitude toward medical care was measured by the structured questionnaire developed for this study, which had high validity and reliability according to factor analysis, item discriminant validity, and Cronbach's $\alpha$ coefficients. On the criteria of mean value of care and cure score, the attitude toward medical care was classified into 4 groups encompassing a group with dependent attitude on medical care, a group with skeptical attitude toward it, a group with cure-oriented attitude, and a group with care-preferred attitude. The results of chi-square test, discriminant analysis, and logistic regression analysis were as follows; patients who visited a univisity hospital, patients who visited an oriental hospital, physicians, and oriental medical doctors included in the group with dependent attitude, the group with cure-oriented attitude, the group with skeptical attitude, and the group with care-preferred attitude, retrospectively. Among the subdomains of care and cure domains, which classified in reference to the result of factor analysis on pilot study, those that patients ranked more importantly than physicians were 'the importance of medical equipment for diagnosis and treatment', 'authority of physician, 'aggressiveness of treatment', 'information giving', 'personal interest' in the case of western medicine. In the case of oriental medicine, those were 'the importance of equipment for diagnosis and treatment', 'aggressiveness of treatment', 'amenities and accessibility', 'coordination of medical staff'. Both physicans and patients put the subdomain, 'physicians' medical knowledge and skillfulness' on the highest rank. The differences in ranking the important attributes of medical care between patients and physicians were apparent in the area of an 'importance of medical equipment for diagnosis and treatment' and so on. It meant that patient had over-expectation on medical care and suggested that the policy on demanad side such as the developement and dissemination of an evidence-based recommendation protocol for health care consumers might be important in Korea. In addition, regarding the attitude of physicians, during the medical education and training it may be neccessary to emphasize the aspect of 'care' of medical care rather than 'cure'. In planning on heath care delivery system, it should be considered that there is a difference in the attitude toward medical care between western medicine and oriental medicine as well as between health care providers and consumers. We expect that more valid measurement tool be developed in this area, which may be major limitation of this study and that this kind of research be expanded into the non-academic settings.

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Assessment of the Usability of Digital TV Remote Control Pointing Methods (Digital TV 리모컨의 포인팅 방식에 대한 사용성 평가)

  • Cheong, Kyeong-Kyun;Kim, In-Soo;Park, Sung-Kwon;Park, Yong-Jin
    • Journal of Broadcast Engineering
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    • v.16 no.4
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    • pp.657-668
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    • 2011
  • Along with the development of communication technology, DTV is gradually evolving into media that provide diverse services and information. This study is related with remote controls that control DTV interfaces and assessed the usability of remote pointing device. To this end, pointing devices using three different interaction methods that have been attempted recently by the industry were selected to conduct empirical experiments. The usability assessment was conducted centering on the existing directional task on straight tracks presented in ISO 9241-Part 9 and the steering tunnel task on curved tracks proposed in this study. The measurement variables included movement time, accuracy, throughput, subjective satisfaction and user behaviors. Based on the results of the assessment, in the case of movements on straight tracks, the GyroPoint method showed better implementing time but lower accuracy compared to the Hall Mouse and OFN methods while in the case of assessment on curved tracks, all of the GyroPoint method, Hall Mouse and OFN methods showed excellent results on both implementing time and accuracy. Besides, differences in efficiency and subjective satisfaction were shown among individual pointing devices. Based on these results, it is considered that individual pointing methods have different advantageous and disadvantageous characteristics. In this study, the usability of remote control pointing methods was assessed and diagnosed reflecting environments where DTVs are used through assessments considering the aspect of straight tracks along with curved tracks. Among others, this study is considered to be meaningful in that it provides assessment criteria and basic data for the development of remote controls suitable for the evolving DTV environments.

A Study on Worker Exposure to Chromium and Degreasing Solvent at Eleetroplating Operation in Small Industry in Korea (우리나라 중소기업 도금공정 근로자의 크롬 및 세척제 폭로에 관한 연구)

  • Paik, Nam Won;Zong, Moon Shik;Lee, Hong Keun;Yun, Chung Ski;Ceong, Hoe Kyeong;Lee, Kyeong Hee;Lee, Na Roo
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.3 no.1
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    • pp.110-126
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    • 1993
  • Worker exposures to total chromium, hexavalent chromium (VI), sulfuric acid and alkaline dust at electroplating operations and worker exposures to trichloroethylene (TCE) and methyl chloroform (MCM) at degreasing operations in eleven small industrial plants were evaluated. Appropriate local exhaust ventilation systems for both operations were designed and recommended. Results of the study are summarized as follows ; 1. Out of 134 measurements for airborne hexavalent chromium concentrations, seven were exceeding the Korean occupational health standard of $50{\mu}g/m^3$ and 45 were exceeding the NIOSH standard of $1{\mu}g/m^3$. With an exception of one measurement, concentrations of total chromium were below the Korean standard of $500{\mu}g/m^3$. 2. Worker exposures to chromium were closely related to the existing control methods at the electroplating operations. Local exhaust systems, partial coverage of the tank surface, and antifoaming agents on liquid surface were adopted as control methods. 3. With an exception of one sample, airborne concentrations of sulfuric acid and alkaline dusts were below the applicable occupational heatlth standards. 4. Three plants indicated that airborne concentrations of TCE and MCM were exceeding the Korean standards. Other plants showed lower concentrations than the standards. It should be noted that generally, the activities and workloads on the day of surveys were less than normal. 5. Since the most existing ventilation systems did not satisfy the ACGIH criteria, the ventilation systems should be improved. Some examples for designing appropriate ventilation systems are presented.

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The Assessment of Blood Glucose Distribution according to the Fasting State and Glycemic Control Indicators for Diabetes Screening (금식 여부에 따른 혈당치 분포와 당뇨병 선별을 위한 혈당조절지표의 평가)

  • Kwon, Pil Seung;Rheem, Insoo
    • Korean Journal of Clinical Laboratory Science
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    • v.48 no.4
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    • pp.312-320
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    • 2016
  • This study analyzed the distribution of the blood glucose level according to the fasting status. Moreover, a relationship was analyzed between fasting blood glucose level and glycemic control indicators. A total of 707 outpatients, who visited Dankook University Hospital, were included and classified into either the fasting group and the non-fasting group. The mean blood glucose level of each group was calculated and analyzed by sex, age, and clinic. In addition, blood glucose, HbA1c, fructosamine, and 1,5-AG were measured in 153 fasting health check-up patients, and the correlation between the blood glucose level and glycemic control indicators was evaluated. Blood glucose averages between the two groups (non-fasting 111.9 vs. fasting 103.6 mg/dL) were different (p<0.05); and the mean difference was lower in women (4.8 mg/dL) than in men (12.2 mg/dL). A significant difference of the median glucose values among the age groups was only observed in the non-fasting group (Kruskal-Wallis test, p<0.01), and not in the fasting group. A 1,5-Anhydroglucitol was estimated to be significantly correlated with the fast blood glucose level in the range of the criteria of impaired fasting glucose (IFG). We presented an assessment of the distribution of blood glucose level in accordance with the fasting status among outpatients, and estimated that 1,5-anhydroglucitol was well correlated with the fasting blood glucose than fructosamine and HbA1c, through the analysis of results of health screening subjects. It is suggested that the use of glycemic indicators that reflect short-term blood glucose control can be used together with the blood glucose measurement in the screening of diabetes mellitus.

Music for Pediatric Patients in Medical Settings: A Systematic Review of Randomized Controlled Trials (소아환자를 위한 음악: 무작위 임상연구의 체계적인 문헌고찰)

  • Lee, Jin Hyung
    • Journal of Music and Human Behavior
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    • v.10 no.2
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    • pp.1-33
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    • 2013
  • The aim of this study was to systematically review the latest clinical trials in music medicine and medical music therapy for pediatric patients. Thirteen databases were searched to obtain randomized controlled/crossover design studies published between the year 2000 and 2012 in English language. Out of 1012 articles retrieved in the initial search, fifteen studies were identified based on an exclusion criteria. Overall, selected articles involved children 1 month to 18 years, sample size of 11 to 150, and total participants of 987. Studies were classified and compared as music medicine or music therapy studies through a systematic synthesis assessing general characteristics, methodological quality, measured outcomes, types of interventions and the study results. Seven music medicine and eight music therapy studies measured seven dependent variables using thirty-six different measurement tools with a large heterogeneity in the selection, type, and method of music interventions. Evaluation of the methodological quality revealed that many studies did not provide a full report of the research method, and did not meet some or most methodological standards, such as randomization, allocation concealment, double or partial blinding, and intention to treat analysis. Although overall research results were positive if not significant, poor methodological quality and heterogeneity in design and intervention strategies raise the question of research bias and trustworthiness issues. The systematic review concluded that music may have a valuable clinical effect in addressing the physical and psychosocial needs of hospitalized children, although more rigorous, homogeneous and replicable studies are greatly needed.

Compatibility of DOAS and Conventional Point Monitoring System Through an Evaluation of Bias Structures Using Long-term Measurement Data in Seoul (장기관측자료를 이용한 DOAS와 점측정 분석시스템의 바이어스 구조에 대한 평가)

  • 김기현;김민영
    • Journal of Korean Society for Atmospheric Environment
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    • v.17 no.5
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    • pp.395-405
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    • 2001
  • To make an assessment of the compatibility between DOAS and conventional point monitoring system (MCSAM-2: MS2), we investigated the concentrations of three criteria pollutants which include S $O_2$, N $O_2$, and $O_3$from a national monitoring station in Seoul during the periods of June 1999~August 2000. The average concentration values for the whole study period derived from hourly concentration data sets of those three species indicated that the mean differences between the two methods can be approximated as 18%. When the bias structure of two systems was evaluated through the computation of percent difference(PD) between the two such as ( $C_{DOAS}$- $C_{conventional}$ $C_{DOAS}$*100, differences between the two systems appeared to be quite systematic among different compounds. While the mode of bias peaked at 0~20% or 20~40% in terms of PD values, the cause of such positive bias mainly arised from generally enhanced concentration values of DOAS system. The structure of bias among different species was further assessed through linear regression analysis. Results of the analysis indicated that the dominant portions of differences observed from two monitoring systems can be accounted for by the systematic differences in their spanning and zeroing systems. S $O_2$(MS2)=0.6385 S $O_2$(DOAS)+2.0985($r^2$=0.7894) N $O_2$(MS2)=0.6548 N $O_2$(DOAS)+7.437($r^2$=0.7687) $O_3$(MS2)=1.0359 $O_3$(DOAS)-7.7885($r^2$=0.7944) The findings of slope values at around 0.64~0.65 from two species suggest that DOAS should respond more sensitively in upper bound concentration range. The offset values apart from zero indicate that more deliberate comparison needs to be made between these monitoring systems. However, based on the existence of strong correlations from at least 8,000 data points for each species of comparison, we were able to conclude that the compatibility of two monitoring systems is highly significant. With the improvement of calibration techniques for the DOAS system. its applicability for routine monitoring of airborne pollutant species is expected to be quite extendable.

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A Study of Enhancing Reliability for Determining the Resistance to Surface Wetting by Imaging Process (이미징 기반의 발수도 판별을 통한 측정 신뢰도 향상에 관한 연구)

  • Kim, Sung-wuk;Chun, Sang Hee;Park, Jae Woo
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.7
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    • pp.483-489
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    • 2017
  • The purpose of this study was to propose useful suggestions for enhancing reliability to determine the resistance against surface wetting, KS K 0590, by an imaging process. We validated the standard spray test rating chart for determining quantification standard using JAVA script-based imaging process program. All of the acquired images were processed with the image software, Image J (NIH, Nethesda, MD, USA). The study results are as follows. We established the surface area measurement-based quantitative criteria for determining resistance to surface wetting. The standard spray test rating chart was converted into a numerical standard which leads easy-to-determine ratings. We also validated the procedure for imaging treatment by analyzing quantitative data. We introduced the fluorescence image for determining ratings by enabling threshold settings and binary image conversion as an optimal imaging process. It is expected that imaging-based determination for resistant to surface wetting will serve as an accurate and reliable method for KS K 0590.

Effects of non-pharmacological interventions for adults with insomnia in Korea: A meta-analysis (국내 수면장애 성인을 위한 비약물적 중재 효과에 대한 메타분석)

  • Chung, Bok-Yae;Park, Hyeon-Sook
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.1
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    • pp.95-106
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    • 2017
  • The purpose of this study was to identify the effects of non-pharmacological interventions for Korean adults with insomnia. Literature review was performed for articles published between 2000 and 2016 in electronic databases. Sixteen articles met the inclusion criteria. Data were analyzed by R version 3.3.1 for windows. Meta-analysis was performed using the random effects model; the overall effect size of non-pharmacological interventions on sleep was significantly large (Hedges' g=2.36, 95% CI: 1.44~3.28). For heterogeneity, a moderator analysis was performed using the study design, participants, age group, intervention, presence of hospitalization, and sleep measurement. There was a statistically significant difference between the effects of moderator variables, except for the study design and participants. Of the interventions, auricular acupressure reported to have the largest effect size on sleep. The findings in this study indicate that non-pharmacological interventions have a positive effect on sleep, providing objective evidence to improve sleep in adults with insomnia using effective interventions.

Measurement from Moving Vehicle Health Screening Outside of The Leakage Dose (이동건강검진차량에서 외부의 누설선량 측정)

  • Han, Beom-Hee;Han, Sang-Hyun;Mo, Eun-Hee;Kim, Chong-Yeal
    • The Journal of the Korea Contents Association
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    • v.15 no.3
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    • pp.192-198
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    • 2015
  • Checked out by the moving vehicle health checks for patients, practitioners, and the increase in radiation dose outside the vehicle, but an investigation into the leakage of radiation can still be negligible. In this study, through experimental results were as follows: Dose that occurs most often where the leak in the right door $1.14{\pm}1.75mR/h$, X-ray generator in terms of proximity to the top $0.65{\pm}1.25mR/h$, X-ray generator and away to the bottom in terms $0.91{\pm}1.25mR/h$, the adjacent rear detector in the upper part $96.98{\pm}158.88mR/h$ dose of the leak appeared in various locations. By measuring position from the rear of the adjacent detector $67.48{\pm}97.03mR/h$ dose had the highest leakage into. Generating device for diagnosis of radiation safety regulations regarding the maximum leakage dose per week, but all met back when it is displayed in the leakage dose Hourly rates do not ignore the leakage radiation dose were measured. Therefore, a mobile health screening in a vehicle outside of the leakage radiation dose to the liver and move on we are not interested twelve barrier leakage radiation dose of defense has a chance to re-evaluate the standards required, and move the vehicle health check using the X-ray increases as the dose per hour, depending on the criteria for choosing the appropriate measures that will require effort.

Evaluation of Structural Safety of Polyethylene Boats by Drop Test Method (낙하시험에 의한 폴리에틸렌 보트의 구조 안전성 평가)

  • Lee, Sung-Riong;Kang, Gyung-Ju;Cho, Seok-Swoo
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.5
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    • pp.531-542
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    • 2017
  • The structural safety of small craft, such as steel ships and FRP ships, can be estimated using the measurement test of the hull plate thickness or the longitudinal bending strength test. A polyethylene boat is made using inexpensive HDPE and can be mass produced. The structural safety of a polyethylene boat cannot be guaranteed because a polyethylene boat hull is notspecified in the KR technical rules. The inspection procedure of sailing yachts and pleasure boats and drop test method of ISO standard 12215-5 propose the structural strength required for small crafts as the drop test height. Therefore, in this study, the drop test of a polyethylene boat hull was carried out based on the inspection procedure of a sailing yacht and pleasure boat and the drop test method of ISO standard 12215-5. The drop load was acquired by the drop acceleration ofa boat hull. Structural analysis and safety of a polyethylene boat were performed by the drop load and allowable stress criteria. The calculation results of the hull plate thickness by structural design specification of ISO standard 12215-5 showed that polyethylene boat hull was more than two times thicker than a steel ship hull and the boat hull determined by the inspection procedure of sailing yacht and pleasure boat and drop test method of ISO standard 12215-5 was more than 1.2 times thicker than the boat hull determined by structural design specification of ISO standard 12215-5. Therefore, inspection procedure of sailing yachts and pleasure boats and drop test method of ISO standard 12215-5 was much more conservative than the structural design specification of ISO standard 12215-5 and could be used as the structural design method of a polyethylene boat.