• Title/Summary/Keyword: S.D. Scale

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Measuring Quality of Life in Cerebral Palsy Children According to the Severity Using the Visual Analogue Scale, Time Trade-Off, and EQ-5D-Y Proxy (뇌성마비 환아 중증도별 시각화척도, 시간교환법, EQ-5D-Y Proxy를 이용한 삶의 질 측정)

  • Lee, Go-Eun;Kim, Nam Kwen;Yun, Young Ju;Wang, Hye Min;Kim, Jeong Hun;Lee, Dong Hyo
    • Journal of Oriental Neuropsychiatry
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    • v.28 no.2
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    • pp.49-59
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    • 2017
  • Objectives: To measure the quality of life in patients according to virtual cerebral palsy severity by using the Korean version of EQ-5D-Y proxy, Visual Analogue Scale (VAS), and Time Trade-Off method (TTO). Methods: The study was conducted in parents of children and adolescents aged 4 to 15 years in Seoul. We analyzed the difference in the utility value according to five levels of cerebral palsy severity in the Gross Motor Function Classification System (GMFCS) and test-retest reliability. Results: 1. There were significant differences in VAS, TTO, and EQ-5D-Y proxy according to the cerebral palsy severity (p<.001). 2. VAS was significantly different according to the respondent's visit to the medical institution, the presence of disease in the respondent, a visit to the child's medical institution, the age of the child, and the sex of the child. The value of TTO was significantly different according to the respondent's visit to the medical institution, respondent's sex, and the age of the child. Also, EQ-5D-Y proxy was significantly different according to the age of the child. 3. Intraclass correlation coefficient values were more than 0.6 for both VAS and TTO at all stages. But for the EQ-5D-Y proxy, the value was less than 0.6 at all stages. Conclusions: The quality of life assessment using EQ-5D-Y proxy showed significant differences in the severity of cerebral palsy. However, large-scale studies using EQ-5D-Y proxy are needed because of low test-retest reliability.

Development and Validation of the Communication Behavior Scale for Nurses Caring for People with Dementia (치매대상자를 돌보는 간호사의 의사소통행위 측정도구 개발 및 평가)

  • Lee, Jihye;Gang, Moonhee
    • Journal of Korean Academy of Nursing
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    • v.49 no.1
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    • pp.1-13
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    • 2019
  • Purpose: The purpose of this study was to develop and validate the Communication Behavior Scale for nurses caring for people with Dementia (CBS-D). Methods: Based on communication accommodation theory, the initial items were generated through a literature review and interviews with 20 experts. Content and face validity of the initial items were assessed. Data from 486 nurses caring for people with dementia were analyzed using item analysis, exploratory and confirmatory factor analysis, criterion-related validity, and internal consistency. Results: The final scale consisted of 18 items and four factors (discourse response management, interpersonal control, emotional expression, and interpretability) that explained 57.6% of the variance. Confirmatory factor analysis indicated that the theoretical model with 18 items satisfied all goodness-of-fit parameters. Criterion-related validity was shown by the Global Interpersonal Communication Competence Scale (r=.506, p<.001). Cronbach's alpha for the total scale was .88. Conclusion: The CBS-D can be used to measure the communication behavior of nurses caring for people with dementia.

Design of Robust Controller for Uncertain Large-scale Systems with Time-delays (시간지연을 갖는 불확정성 대규모 시스템의 강인 제어기 설계)

  • Lee, Hui-Song;Kim, Jin-Hun
    • The Transactions of the Korean Institute of Electrical Engineers D
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    • v.49 no.1
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    • pp.26-32
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    • 2000
  • In this paper, we consider to robust controller design problem for the linear large scale systems with the uncertainties and the time-delays. The considered time-delays are that exist in the state and the input of the subsystems and the interconnected subsystems. And the considered uncertainties are two general types that exist in the system, input and interconnected matrices. Based on the linear matrix inequality(LMI) and Lyapunov theorem, we present sufficient conditions for the existence of a controller that guarantees the asymptotic stability of systems regardless of the uncertainties and the time-delays. Also, the controller can be easily obtained by checking the feasibility of the LMI's. Finally, we show the usefulness of our results by an example.

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A Case Study on Quality Assurance Application of the Nuclear Hydrogen R&D (원자력수소 연구개발과제의 품질보증 적용 사례 연구)

  • Lee, Tae-Hoon;Lee, Ki-Young
    • Journal of Korean Society of Industrial and Systems Engineering
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    • v.33 no.4
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    • pp.114-121
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    • 2010
  • Traditionally Nuclear Research and Development (R&D) result has been big influence on other industries and societies and it requires large scale investments and study period. So it is essential to apply Quality Assurance (QA) for systematic R&D management. This paper investigates QA System for U.S. Nuclear R&D and reviews QA elements. Based on this investigation, we applied QA requirements to Nuclear Hydrogen R&D project, and the scope of application be enlarged as R&D stage in progress. We also present QA system improvement way through consideration for Nuclear Hydrogen Project's QA application. As the need for QA in R&D is expected to increase in the future, it is necessary to prepare guidelines for R&D QA.

Ultrasound-guided PENG block versus intraarticular corticosteroid injection in hip osteoarthritis: a randomised controlled study

  • Selin Guven Kose;Halil Cihan Kose;Feyza Celikel;Serkan Tulgar;Omer Taylan Akkaya
    • The Korean Journal of Pain
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    • v.36 no.2
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    • pp.195-207
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    • 2023
  • Background: This study aimed to compare the effectiveness of the pericapsular nerve group (PENG) block and intra-articular injection (IAI) of steroid-bupivacaine in the treatment of hip osteoarthritis (OA). Methods: After randomization, patients received either a PENG block or IAI under ultrasound-guidance. Clinical evaluations were recorded at baseline, day 1, and weeks 1, 4, and 8 post-intervention. The numerical rating scale (NRS), Western Ontario and McMaster Universities Arthritis Index (WOMAC), Harris Hip Scale (HHS) scores, pain medication use determined by a quantitative analgesic questionnaire, and patient satisfaction were evaluated. Results: Sixty patients were included in this study. NRS scores improved significantly for both groups during the follow-up compared to pretreatment (P < 0.001), with better pain scores for the PENG group (P < 0.001) at day 1 with larger effect size (Cohen's d = 4.62), and IAI group at 4 (Cohen's d = 5.15) and 8 (Cohen's d = 4.33) weeks (P < 0.001). There was no significant difference in pain medication consumption (P = 0.499) and patient satisfaction (P = 0.138) between groups. Patients in the IAI group experienced significant improvement in HHS (Cohen's d = 2.16, P = 0.007) and WOMAC (Cohen's d = 1.02, P = 0.036) scores at 8 weeks compared to the PENG group. Conclusions: The ultrasound-guided PENG block provides effective pain relief which improves functionality and quality of life in hip OA patients up to 2 months. The PENG block can be considered an easy, safe, and useful alternative treatment modality for hip OA.

Analysis of Landscape Information and Web GIS Implementation of Using 3D Topographic Modeling (3차원 지형모델링에 의한 경관정보 분석과 Web GIS 구현)

  • Kim, Yong-Suk;Hong, Soon-Heon;Ok, Chi-Yul
    • The Journal of the Korea Contents Association
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    • v.7 no.9
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    • pp.204-211
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    • 2007
  • In this study 3D topographic modeling was made by using aerial photography and digital terrain map, through this we did visibility analysis and implemented Web GIS of Dong-A university. Studying area was Busan Saha-gu Hadan-dong, we used aerial photography on a scale of 1:20,000 and digital terrain map on a scale of 1:5,000. Ortho correction image was made by aerial photography through selecting GCP, image matching, image resampling and precise differential rectification. And DEM on digital map was created using ArcView program, making 3D topographic modeling by road layer and building layer and implementing Web GIS about Dong-A university.

Effective Treatment System for the Leachate from a Small-Scale Municipal Waste Landfill (소규모 쓰레기 매립장 침출수의 효율적인 처리 방안에 관한 연구)

  • Cho Young-Ha;Kwon Jae Hyun
    • Journal of Environmental Health Sciences
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    • v.28 no.1
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    • pp.51-65
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    • 2002
  • This study was carried out to apply some basic physical and chemical treatment options including Fenton's oxidation, and to evaluate the performances and the characteristics of organic and nitrogen removal using lab-scale biological treatment system such as complete-mixing activated sludge and sequencing batch reactor(SBR) processes for the treatment of leachate from a municipal waste landfill in Gyeongnam province. The results were as follows: Chemical coagulation experiments using aluminium sulfate, ferrous sulfate and ferric chloride resulted in leachate CO $D_{Cr}$ removal of 32%, 23% and 21 % with optimum reaction dose ranges of 10,000~15,000 mg/$\ell$, 1,000 mg/$\ell$ and 500~2,000 mg/$\ell$, respectively. Fenton's oxidation required the optimum conditions including pH 3.5, 6 hours of reaction time, and hydrogen peroxide and ferrous sulfate concentrations of 2,000 ~ 3,000 mg/$\ell$ each with 1:1 weight ratio to remove more than 50% of COD in the leachate containing CO $D_{Cr}$ between 2,000 ~ 3,000 mg/$\ell$. Air-stripping achieved to remove more than 97% of N $H_3$-N in the leachate in spite of requiring high cost of chemicals and extensive stripping time, and, however, zeolite treatment removing 94% of N $H_3$-N showed high selectivity to N $H^{+}$ ion and much faster removal rate than air-stripping. The result from lab-scale experiment using a complete-mixing activated sludge process showed that biological treatability tended to increase more or less as HRT increased or F/M ratio decreased, and, however, COD removal efficiency was very poor by showing only 36% at HRT of 29 days. While COD removal was achieved more during Fenton's oxidation as compared to alum treatment for the landfill leachate, the ratio of BOD/COD after Fenton's oxidation considerably increased, and the consecutive activated sludge process significantly reduced organic strength to remove 50% of CO $D_{Cr}$ and 95% of BO $D_{5}$ . The SBR process was generally more capable of removing organics and nitrogen in the leachate than complete-mixing activated sludge process to achieve 74% removal of influent CO $D_{Cr}$ , 98% of BO $D_{5}$ and especially 99% of N $H_3$-N. However, organic removal rates of the SBR processes pre-treated with air-stripping and with zeolite were not much different with those without pre-treatment, and the SBR process treated with powdered activated carbon showed a little higher rate of CO $D_{Cr}$ removal than the process without any treatment. In conclusion, the biological treatment process using SBR proved to be the most applicable for the treatment of organic contents and nitrogen simultaneously and effectively in the landfill leachate.e.

Psychiatric Comparison Study of Kidney Transplantation Patient and Hemodialysis Patients (신투석 환자와 신장 이식 환자의 정신의학적 비교 연구)

  • Cho, Dong-Hwan;Park, Bum-Yong;Kong, Jin-Min;Kim, Jeong-Gee
    • Korean Journal of Psychosomatic Medicine
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    • v.6 no.1
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    • pp.59-69
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    • 1998
  • Objectives: This research was performed to know severity of depression and anxiety, the psychopathology of hemodialysis patients and kidney transplantation patients using Minneesota Multiphasic Personality Inventory(MMPI) and Zung's Self-rating Depression Scale (SDS), Zung's Self-rating Anxiety Scale(SAS), MMPI Subscales. Methods: We surveyed 31 hemodialysis patients and 119 kidney transplantation patients. 119 kidney transplantation group(KT) was investigated at ; 1) Before kidney transplantation (KT-1), 2) Three days after kidney transplantation(KT-2), 3) Three weeks after kidney transplantation(KT-3),4) Follow up at OPD(F/U). Results: 1) According to dermographic data, mean age was KT 33.1, HD 42.2, Control 33.1 years old and KT, HD were belonged to lower economic states and lower educational level than Control. 2) In the depression scale for SDS, KT-1 was more depressed than F/U and Control but depression scale was significantly decreased at KT-2 in comparison with HD. In the anxiety scale for SAS, KT-1 was more anxious than Control but anxiety scale was not different within IT subgroups and in comparison with HD. 3) In comparison of MMPI scales, Hs, D, Pt, Ma at KT-1, Pd, Pa, Pt, Ma at KT-2, F, D, Pd, Pt, Pa, Sc, Ma at KT-3, Pt at F/U were more high scores than Control.

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Charge Redistribution of Pt-based Alloys

  • Lim, K.Y.;Chung, Y.D.;Kwon, S.Y.;Lee, Y.S.;C.N.Whang;Y.Jeon;Park, B.S.
    • Proceedings of the Korean Vacuum Society Conference
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    • 1999.07a
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    • pp.171-171
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    • 1999
  • We studied the charge redistribution in the Pt-M (M=Cu, Co) alloys by X-ray Absorption Near Edge Spectroscopy(XANES) and X-ray Photoelectron Spectroscopy(XPS). These analysis tools provide us information about the charge transfer in the valence band of intermetallic bonding. The samples were prepared by arc-melting method. After annealing this samples in vacuum for several hours, we cold get the ordered samples, which were confirmed with XRD analysis. the core and valence level energy shift in these system were investigated by Mg $K\alpha$(1253.6eV) x-ray source for Pt-Co alloys and monochromatized Al $K\alpha$ (1486.6eV) for Pt-Cu alloys. Pt L2, L3-edge, and Cu, Co K-edge XANES spectra were measured with the total electron-yield mode detector at the 3Cl beam line of the PLS (Pohang light source0. from the changes of White line (WL) area and the core level shifts of the each metal sites, we can obtain the information about the electrons participating in the intermetallic bonding of the Pt-Cu and Pt-Co alloys.

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