• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제24권1호
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• pp.38-44
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• 2021

Purpose: Digital communication is becoming increasingly important in clinical practice and research. The finding that stool consistency can be evaluated similarly using either "in vivo" or photographic material by health care professionals will decrease subjective interpretation by parents. The primary outcome of this study was the reliability of stool consistency scoring using the Brussels Infant and Toddler Stool Scale (BITSS) between fresh stools and their photos; the secondary outcome was the inter-rater reliability based on the fresh stools. Methods: Fresh stool samples from healthy children were collected in a day care center. These stools, and one month later the corresponding photos presented in a random order, were presented to 14 observers. Reliabilities were analyzed using absolute agreements and weighted and unweighted Cohen's κ. Results: In total, 202 samples were rated 576 times. Absolute agreement between photographic and real time assessment ranged between 71.1% and 83.3% among observers. This corresponded with substantial agreement (unweighted κ=0.70 [95% CI, 0.61-0.78]; weighted κ=0.86 [95% CI, 0.78-0.88]). The inter-observer agreement showed similar percentages of absolute agreement (81.4-82.0%) and κ-values corresponding with fair-to-moderate agreement. Conclusion: Our findings suggest that the assessment of fresh stool consistency can also reliably be done on photographic material when using the BITSS. This opens opportunities in scientific surroundings and in our daily life communication with parents and caretakers.

• Physical Therapy Rehabilitation Science
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• 제9권4호
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• pp.318-323
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• 2020

Objective: Reacquisition of motor functions following stroke depends on interhemispheric neural connections. The intervention highlighted in the present case is an insight for augmenting motor recovery by stimulating the lesioned area and adjacent areas governing the motor behaviour of an individual. The purpose of this study was to determine the changes in the motor and cognitive outcomes through multi target stimulation of cortical areas by application of multichannel transcranial direct current stimulation (M-tDCS) in a stroke survivor. Design: A case report. Methods: The patient was a participant of a trial registered with the clinical trial registry of India (CTRI/2020/01/022998). The patient was intervened with M-tDCS over the left primary motor cortex i.e. C3 point and left dorsolateral prefrontal cortex i.e. F3 point with 0.5-2 mA intensity for the period of 20 minutes. SaeboFlex-assisted task-oriented training, functional electrical stimulation over the lower extremity (LE) to elicit dorsiflexion at the ankle and eversion of the foot, and conventional physiotherapy rehabilitation including a tailored exercise program were performed. Outcome assessment was done using the Fugl-Meyer assessment scale (FMA) for the upper and lower extremity (UE and LE), Montreal Cognitive Assessment (MOCA), Wisconsin Gait Scale (WGS) and the Stroke Specific Quality of Life (SSQOL) measures. Assessment was taken at Day 0, 15 and 30 post intervention. Results: Improvement was observed in all the outcome measures i.e FMA (UE and LE), MOCA, SSQOL and WGS across the span of 4 weeks. Conclusions: M-tDCS induced improvement in motor functions of the UE and LE, gait parameters and cognitive functions of the patient.

• 문화기술의 융합
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• 제8권5호
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• pp.39-50
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• 2022

본 연구 목적은 코로나 19 펜데믹 상황에서 이루어진 온라인 건강사정실습 교과목에서 능동학습 적용이 간호대학생의 비판적사고성향, 문제해결능력 및 셀프리더십에 미치는 효과를 확인하고자 수행하였다. 자료수집은 21년 9월 1일부터 12월 17일까지 D대학교 간호학과 2학년 78명을 대상으로 이루어졌으며 수집된 자료는 SPSS/WIN 20 프로그램을 이용하여 분석하였다. 본 연구결과 온라인 건강사정실습 수업에서 능동학습 적용 후 비판적사고성향(t=-2.11 p=.038), 셀프리더십(t=-2.07 p=.042)은 통계적으로 유의하게 증가되었다. 능동학습으로 적용된 SOAP, 임상추론학습지(Outcome-Present-Test) 및 임상추론 웹 작성(Clinical reasoning web), 마인드맵 작성은 간호대학생들의 비판적사고성향과 셀프리더십을 향상시키는 것으로 확인되어 대면수업에서의 효과를 확인하는 연구가 이루어져야 할 것이다.

• 사상체질의학회지
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• 제35권4호
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• pp.23-41
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• 2023

Objectives This study is aimed to develop criteria for assessing the health level of cancer survivors through patient reported outcome based on sasang constitutional symtomology. Methods As a result of the researchers' meetings and the first round of expert group consultation, the constitutional health level assessment items that would be common to all Sasang constitutions were extracted, and constitutional health level assessment items for cancer survivors were selected. A second round of expert group consultation was conducted to determine the importance and weighting of these items for each constitution. Results & Conclusions For soeumin, the importance ranking and calculated weight were as follows: 'I had sweats even when I was not hot or exercising.(1st, 4.09)', 'I had night sweats while sleeping(2nd, 3.94)', 'I lost weight.(3rd, 3. 75)', etc. For soyangin, as follows: 'I had night sweats while sleeping.(1st, 3.08)', 'I had vomiting.(2nd, 3.02)', 'I felt hot flashes in the afternoon or at night. (3rd, 2.73)', etc. For taeumin, as follows: 'I was out of breath.(1st, 3.48)', 'My heart was pounding for no reason.(2nd, 3.45)', 'My body was swollen.(3rd, 3.22)', etc. For taeyangins, as follows: 'I couldn't urinate well.(1st, 4.49)', 'I vomited(2nd, 4.44).', 'My upper abdomen were hard.(3rd, 3. 14)', etc. Based on the results, we developed a draft of a questionnaire to assess the Sasang constitutional health level of cancer survivors, weighted for each item.

• 한국독성학회:학술대회논문집
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• 한국독성학회 2003년도 춘계학술대회 논문집
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• pp.31-34
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• 2003

The monitoring of genotoxic effect or oxidative DNA damage in workers exposed to hazardous materials is increasingly applied for hazard identification or risk assessment purposes in workplaces. The current generation of biomarkers has the potential to allow for the earlier detection of occupational disease, for the reduction of misclassification of exposure and outcome. (omitted)

• 경영과학
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• 제31권4호
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• pp.43-53
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• 2014

There is no generally accepted single stylized methodology for the impact assessment of standardization programs even though some scholars in the United States or Europe have been trying to set up a common methodology during past decades. It is because the economic outcome indicators that analysts seek to quantify vary significantly with the diversity and complexity of the affected industry and the analytic approach, as well as the nature of STANDARDIZATION programs. This paper builds up the model to establish common methodology which is designed to enable the comparable economic assessment analysis between various STANDARDIZATION programs. The model thus serves to enable a comparable impact assessment because it enables both universally valid and stylized analysis, while traditional impact assessment analysis can vary depending on the kinds of analytic approaches. In other words, this paper developed the common methodology which is designed to stylize the universally valid impact assessment of STANDARDIZATION programs. In addition, this paper shows that it should be accompanied by empirical research for some items in the model, to enable the realization of the both comparable and sophisticated analysis of impact assessments, thereby outputting in the range of those values which depend on the industry and/or STANDARDIZATION type.

• 한국조경학회지
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• 제27권5호
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• pp.138-149
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• 2000

The purpose of this study is to evaluate Suwon stream naturalness Index(S.N.I). and tofind out stats, problems and opportunities of the Suwon stream by assessment standard. Assessment standard is mainly based on physical structure of stream environment. the purpose evaluating sectors and elements are physical form and structure restoration of stream. To find out assessment standard of stream naturalness index, conceptual frame of assessment standard has been established, for which four sections, for example, longitudinal section, lateral section, stream bottom structure and water environment, have been selected. Overall stream naturalness index of the Suwon stream has been distributed at 3rd to 4th grade, and 3.3 of assessment index and mode were 3rd grade respectively. stream naturalness index of each section was as follows: Longitudinal section accounted for 3.7in average to be 4th grade, lateral section did 3.8 to be 4th grade, and water environment did 2.4 to be 2nd grade. Analysis of assessment outcome of stream naturalness index has checked status, problems and opportunities of corresponding stream. Assessment of stream naturalness index of the study provides useful information for restoration of close-to-nature stream, and furthermore has its meaning in checking problems and opportunities of Suwon stream.

• Journal of Trauma and Injury
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• 제25권4호
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• pp.122-131
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• 2012

Purpose: Diffuse axonal injury (DAI) is clinically defined as a coma of over six hours in a head trauma victim without a focal mass lesion. The emergency physician usually resuscitates and stabilizes a comatose head trauma victim in the emergency Department. After assessment and treatment, the prognosis is very important to both the victim and the physician. The prognosis for DAI is based on Glasgow Coma Scale (GCS) and other imaging data. We investigated the prognostic value of computed tomography (CT) and gradient-echo magnetic resonance imaging (GRI) for head trauma victims with DAI. Methods: Fifty-three(53) head trauma victims of DAI were enrolled in this study from 2007 to 2012. During the study period of six years, data on trauma victims were collected retrospectively. We analyzed the differences in the Glasgow Outcome Scale (GOS) result between the CT and the GRI modalities. Results: We classified the study group by using GOS. Between the good outcome subgroup (GOS scores of 4 and 5) and the poor outcome subgroup (GOS score of 1-3), there were no statistical difference in sex, age, initial vital signs and initial GCS score. The good outcome subgroup had non-hemorrhage on CT(52%), which was correlated with good outcome and a shorter awakening time, while a larger number and a deeper location of hemorrhagic lesions on in GRI were correlated with poor outcome in DAI. Conclusion: We conclude that the existence of hemorrhagic lesions on CT, and the number and location of those lesions on GRI had good prognostic value for head trauma victims with DAI.

• Journal of Trauma and Injury
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• 제36권1호
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• pp.39-48
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• 2023

Purpose: Sports offer several health benefits but are not free of injury risk. Activity dynamics vary across sports, impacting the injury profile and thereby influencing healthcare resource utilization and health outcomes. The purpose of this study was to investigate sports-related major trauma cases and compare differences across sports and activity groups. Methods: A retrospective case notes review of sports-related major traumas over a 5-year period was conducted. Demographic, hospital episode-related, and health outcome-related data were analyzed, and differences were compared across sports and activity groups. The Glasgow Outcome Scale (GOS) at discharge was used as the primary outcome measure and the length of hospital stay as the secondary outcome measure. Results: In total, 76% of cases had good recovery at discharge (GOS, 5), 19% had moderate disability (GOS, 4), and 5% had severe disability (GOS, 3). The mean length of hospital stay was 11.2 days (range, 1-121 days). The most severely injured body region was the limbs (29.1%) and vertebral/spinal injuries were most common (33%) in terms of location. A significant difference (P<0.05) existed in GOS across sports groups, with motor sports having the lowest GOS. However, no significant differences (P>0.05) were found in other health-outcome variables or injury patterns across sports or activity groups, although more competitive sports cases (67%) required admission than recreational sports cases (33%). Conclusions: Spinal injuries are the most frequent sports injuries, bear the worst health outcomes, and warrant better preventive measures. Head injuries previously dominated the worst outcomes; this change is likely due to better preventive and management modalities. Competitive sports had a higher injury frequency than recreational sports, but no difference in health outcomes or injury patterns.

• 정신신체의학
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• 제6권2호
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• pp.147-154
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• 1998

본 연구에서는 공황장애 환자에 대한 인지행동치료의 효과에 영향을 미치는 환자 특성을 확인하기 위하여 다면적 인성검사를 사용하여 환자의 특성을 측정하고 이들 환자 특성 중 어떤 변인이 치료결과를 예측하는데 도움이 되는지를 알아보았다. 31명의 공황장애 환자를 대상으로 11주의 공황장애 인지행동치료 프로그램을 실시하였고, 치료전에 다면적 인성검사를 실시하였으며, 치료 전 후에 Beck Depression Inventory(BDI), Spielberger State-Trait Anxiety Inventory의 상태 불안 질문지(STAI-State), Agoraphobic Cognition Questionniaire(ACQ), Body Sensation Questionnaire(BSQ)의 질문지와 환자의 자기보고 등 5가지를 실시하여 치료 성과의 지표로 사용하였다. 최종상태 기능 (End-State Functioning) 에 따라 치료 결과가 좋은 집단(상위 최종상태 집단)과 치료 결과가 나쁜 집단(하위 최종상태 집단)을 구분하여 두 집단의 특성용 비교 분석하여 다음과 같은 결과를 얻었다. 1) 다면적 인성검사의 건강염려증 척도(Hs), 우울증 척도(D), 히스테리 척도(Hy), 강박증 척도(Pt), 정신분열증 척도(Sc), 그리고 타당도 척도인 F 척도에서 하위 최종상태 집단이 상위 최종상태 집단에 비해 유의미하게 높은 점수를 보였다. 하지만 이러한 차이는 치료 효과에 영향을 미치는 환자 변인이라고 하기보다는 단순히 환자가 가진 증상의 심한 정도를 반영하는 것으로 보인다. 2) 치료 전에 실시한 다섯 가지 평가 지표에서 기본적으로 하위 최종상태 집단이 상위 최종상태 집단보다 증상의 정도가 심했지만, 두 집단 모두 치료를 통하여 비슷한 수준의 치료적 변화를 보인 결과는 1)의 해석을 지지해준다. 이상의 결과를 종합할 때, 다면적 인성검사는 인지행동 치료 결과에 영향을 미치는 환자의 특성을 파악하는데는 효과적이지 못한 방법으로 생각되며, 추후 연구에서는 보다 직접적으로 성격 특성을 측정할 수 있는 방법을 사용하여 환자 변인을 찾아 볼 필요가 있을 것으로 생각된다.