• 한국의료질향상학회지
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• 제25권2호
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• pp.16-25
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• 2019

Purpose:The healthcare system of South Korea is at the extreme of the dispersed system. Few regulations limit patients from directly visiting higher-level medical institutions for primary care sensitive conditions. As a result, similar to local clinics, general and tertiary teaching hospitals also provide diverse primary care services. Our study aimed to examine the general public's perceptions of their primary care performance. Methods: Face-to-face surveys were conducted with 1000 adults who were living in South Korea with the aid of a questionnaire that included the Korean Primary Care Assessment Tool (KPCAT). The KPCAT consists of five domains, which are the main indicators of primary care performance: first contact, comprehensiveness, coordination, personalized care, and family/community orientation. One-way analysis of variance and post hoc tests were used to compare the KPCAT scores across the three types of medical institutions. Results: Domain-wise analyses revealed two different patterns. With regard to first contact and its subdomains, the highest and lowest scores emerged for local clinics and tertiary teaching hospitals, respectively. However, the other four domain scores were significantly lower for local clinics than for the other two types of medical institutions. Conclusions: Local clinics were perceived to be medical institutions that are responsible for providing primary care. However, the general public perceived only one domain of their primary care to be superior to that of the other two types of medical institutions: first contact. National efforts should be taken to strengthen their other four domains of primary care by training their workforce and providing appropriate incentives.

• 환경영향평가
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• 제20권1호
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• pp.25-36
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• 2011

In this study, the accurate water quality analysis in rivers, including the non-point source is performed. First of all, watershed model, SWAT(Soil and Water Assessment Tool) was applied to analyze the impact of the non-point source in study area. And then, water quality analysis integrating the point source and the non-point source is implemented using QUALKO model. For more exact simulation, it should be the calibration and verification of variables and parameters which are needed for simulation. In addition, the importance of considering the non-point source was confirmed in river water quality simulation. BOD, TN, TP were analysed, and the results shows that BOD, TN and TP concentration was increased to 16.8%, 8.2% and 25.8% respectively. The more accurate estimate will be carried if use of reliable measurements and watershed simulation be done in models linking process. The suggested technique will improve the accuracy of the water quality analysis. The methodologies presented in this study will contribute to basin-wide water quantity and quality management.

• Physical Therapy Rehabilitation Science
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• 제10권3호
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• pp.379-386
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• 2021

Objective: The purpose of this study was to systematically review the trunk impairment scale that are used to assess the trunk control of stroke patients. Design: A systematic review Methods: Stroke subjects were categorized as acute, subacute, chronic. In this systematic review, the studies published between 2000 and 2020 were selected. A literature search using the keywords 'QUADAS', 'stroke', 'trunk impairment scale'. Data sources included RISS, GOOGLE Scholar and DBpia. We assessed the quality of assessment tools using Quality Assessment of Diagnostic Accuracy Studies tool. Results: We reviewed 18 studies. 7 of the 18 studies reported reliability results, 10 reported validity results. The QUADAS tool quality evaluation of 17 literatures extracted except for one randomized control test among 18 literatures showed a range of 3 to 13 points. 5 of the 18 studies are presented with the Cronbach alpha coefficient indicating reliability using internal consistency, all of which are more than 0.8. All studies that presented test-retest reliability, intra-rater reliability, and inter-rater reliability showed high agreement with an intra-class correlation coefficient of 0.75 or more. Conclusions: A systematic review of the study of the application of the trunk impairment scale for stroke patients will help provide criteria for future studies and application of the trunk impairment scale in clinical practice.

• 한국정보처리학회논문지
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• 제2권2호
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• pp.185-198
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• 1995

본 연구는 소프테워어의 품질을 평가하기 위한 소프트웨어 품질평가 도구의 개발 에 관한 것으로 소프트웨어 품질을 평가하기 위한 체계를 구축하고 소프트웨어 품질 평가 활동을 지원하는 소프트웨어 품질평가도구를 개발하는 것을 목적으로 한다. 소 프트웨어 품질평가 체계는 GQM(Goal-Question-Metrics) 방법론에 의거하여 프로그램의 기능성, 유지보수성, 복잡성 및 객체지향성에 대한 부분을 포함하는 체계로 구성한다. 또한 소프트웨어 품질평가 도구는 개발자, 구매자 및 이용자간의 주관적인 요소를 배 제한 형태로 자동화된 평가를 행하는 것으로 소프트웨어 분석 시스템과 분석 과정을 일관성있게 지원하는 사용자 인터페이스에 대한 부분으로 구분된다. 본 논문의 목적은 소프트웨어 품질을 소프트웨어 개발 중이나 개발 완료후에 평가하여 소프트웨어 개발 비용과 유지보수 비용을 감소함으로써 소프트웨어의 생산성을 향상시키는 것이다.

• 한국토양비료학회지
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• 제49권5호
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• pp.572-576
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• 2016

Soil quality assessment is an important tool for environmental management in an agricultural field. It can be used to evaluate the health of the soils and to establish the basis for sustainable urban agriculture and soil management. For this study, the chemical properties of the soils used for urban agriculture were examined. Results of the soil analysis for chemical properties were applied to soil quality assessment system, which is composed of principal component analysis, application to scoring function and derivation of soil quality index (SQI). Soil pH, electrical conductivity (EC), organic matter (OM), total nitrogen (T-N) were determined for minimum data set (MDS) according to principal component analysis. Based on the results of scoring for four indicators (pH, EC, OM, T-N), soil pH was the indicator that needs the most urgent management. Results of SQI derivation showed that many of the urban farms appeared to be insufficient score in comprehensive soil quality assessment. In conclusion, soil management practices based on scores derived from soil chemical indicators need to be carried out to maintain sustainable urban agricultural soil environment and to provide easy-to-understand information to urban farmers.

• 한국물환경학회지
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• 제31권6호
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• pp.723-731
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• 2015

We investigated the spatial and temporal patterns of water quality in the Gangjung-Goryoung weir that is located in the middle area of the Nakdong river, Korea. The monitoring results indicated that there are discernible vertical differences in water quality during the pre- and post-monsoon periods (May to September). During this period, it was observed that the weak thermal stratification formed at the maximum level, and pH, Chl-a, and DO concentrations in the surface layer were higher than those in the bottom layer. This vertical difference was especially noticeable for DO concentrations: there were DO depletions at the bottom layer in late June to early August. During the summer monsoon period with heavy rainfall, there was a decline in vertical differences in water quality. From this study, it was suggested that continuous monitoring of vertical profiles could become a useful tool for identifying the spatial and temporal distributions of water quality and for developing the best management policy for water quality in the Nakdong river.

• 재활복지
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• 제21권1호
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• pp.27-46
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• 2017

본 연구의 목적은 시각장애인용 고용준비도 검사지를 개발하는 데 있다. 개발과정은 체계적인 개발절차에 따라 문헌연구를 통해 검사 요인을 구성하고, 학계 및 현장 전문가 의견조사, 파일럿 테스트를 통해 검사지를 최종 완성하였다. 검사지의 신뢰도와 타당도를 검증하기 위해 구직시각장애인을 대상으로 평가를 실시하여 253명의 평가 자료를 수집하였다. 검사도구의 신뢰도 및 타당도 검증을 위해 주성분 분석, 확인적 요인분석, 상관분석 등을 사용하였다. 신뢰도 분석결과, 구인별 신뢰도 계수는 0.88-0.92로 요인별 하위 문항 간 내적일관성이 양호한 것으로 확인되었다. 타당도 분석결과, 9개 구인별 주성분 요인분석에서 단일차원성이 양호하고, 확인적 요인분석 결과에서도 구조방정식 모형이 적합한 것으로 나타나 구인타당도는 양호한 것으로 평가되었다. 공인타당도 검증을 위해 고용준비도 검사와 직업스크리닝 검사 간 상관관계 분석을 실시한 결과, 상관계수값이 0.501로 나타나 공인타당도가 양호한 것으로 확인되었다. 이상의 결과에서, 시각장애인 고용준비도 검사는 평가도구로서 심리측정학적으로 타당성이 있는 것으로 확인되었다.

• 대한간호학회지
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• 제45권6호
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• pp.783-801
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• 2015

Purpose: The purpose of this study is to provide a comprehensive overview of the various measures available for assessment of oxaliplatin-induced peripheral neuropathy (OXLIPN) and to evaluate the measurement properties of each assessment tool. Methods: A systematic review was conducted to identify existing measures for OXLIPN found in the databases of PubMed, Cochrane Library, Embase, RISS and KoreaMed. The quality of the 24 identified tools was evaluated based on their properties of measurement including content validity, internal consistency, criterion validity, construct validity, reproducibility, responsiveness, floor-ceiling effects and interpretability. Results: Ten (41.7%) of the 24 tools were identified as specific measures for assessing OXLIPN and the most popular type of measures were clinical grading systems by clinicians (58.3%) and only 29.2% of measures were identified as patient reported outcomes. The most frequently used tool was National Cancer Institute-Common Toxicity Criteria (NCI-CTC), but the validity of NCI-CTC has not been reported appropriately. Overall, the Neuropathic Pain Symptom Inventory (NPSI) received the best psychometric scores, and the Chemotherapy-induced Peripheral Neuropathy Assessment Tool (CIPNAT) and Functional Assessment of Cancer Therapy/Gynaecologic Oncology Group-neurotoxicity-12 (FACT/GOG-Ntx-12) followed NPSI. Conclusion: To select appropriate measure, evidences should be accumulated through the clinical use of tools. Therefore, practitioner and researchers are urged to report relevant statistics required for the validation of the currently used measures for assessment of OXLIPN.

• 대한한방소아과학회지
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• 제34권1호
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• pp.26-36
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• 2020

Objectives The purpose of this study is to assess the reporting quality and methodological quality of systematic reviews from the Journal of Pediatrics of Korean Medicine. Methods Systematic reviews were selected from the Journal of Pediatrics of Korean Medicine (JPKM) by utilizing Oriental Medicine Advanced Searching Integrated System (OASIS) and JPKM homepage. Two independent researchers assessed the reporting quality through Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guideline checklist, and assessed the methodological quality of systematic review through Assessment of Multiple Systematic Reviews (AMSTAR) 2 tool checklist. Results Four systematic reviews were finally selected for the assessment. When assessed by PRISMA, three literatures were little insufficient, and one literature was sufficient. When assessed by AMSTAR 2, three literatures were moderate quality, and one literature was critically low quality. Also, all of the reviews had no information about 'Protocol and registration', 'publication bias', and 'conflicts of interest'. Conclusions Systematic review is important for Journal of Pediatrics of Korean Medicine and Korean Medicine Society. Efforts are needed to improve the reporting and methodological quality of the systematic reviews through PRISMA and AMSTAR 2.

• Nutrition Research and Practice
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• 제10권3호
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• pp.305-312
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• 2016

BACKGROUND/OBJECTIVES: As the prevalence of chronic diseases has risen, the need for straightforward diagnostic tools for monitoring nutrition status to improve nutrition counseling and disease prevention has likewise increased. This study developed an easily usable dietary behavior pattern diagnosis checklist and investigated its correlation with dietary quality index. SUBJECTS/METHODS: A draft dietary pattern evaluation tool was generated by analyzing previous studies. The draft questionnaire comprised 61 questions for assessing dietary habits. A survey was administered to 320 adults (19 to 64 years old) using the dietary pattern evaluation tool and 24-hour-recall method between March and May of 2014 in Jeonbuk province and the metropolitan area. Principal component analysis with varimax rotation was performed to identify dietary behavior patterns. Nutritional analysis was conducted using CAN-Pro 4.0, and the Diet Quality Index-International (DQI-I) was calculated to assess dietary quality. The correlation between dietary pattern scores and DQI-I scores was also analyzed. RESULTS: The factor analysis resulted in a total of 34 questions mapped to four main dietary behavior patterns: "high fat and calorie" pattern (12 questions), "overeating/binge" pattern (nine questions), "dietary impulse" pattern (eight questions), and "unbalanced food intake" pattern (five questions). The four dietary behavior patterns were negatively correlated with DQI-I adequacy and total scores (P < 0.01). CONCLUSIONS: The dietary pattern evaluation tool developed in this study can be used to diagnose a client's dietary behavior problems and is available as a nutrition counseling tool in the field.