• 재활치료과학
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• 제6권2호
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• pp.37-45
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• 2017

Background: The presence of visuospatial impairment can make patients slow functional recovery and impede the rehabilitation process in TBI patients. Objective: The aim of this study is to investigate effects of prism adaptation treatment for functional outcomes in patients following traumatic brain injury. Methods: The subject received prism adaptation treatment for 2 weeks additionally during traditional rehabilitation for 4 weeks. The Patient has prism adaptation treatment while wearing wedge prisms that shift the external environment about $12^{\circ}$ leftward. The patient received 10 sessions, 15-20min each session. Outcome measures were visuospatial deficit(line bisection, latter cancellation), Visual and spatial perception(LOTCA-visual perception and spatial perception), motor function of upper extremity(FMA U/E; Fugl-Meyer motor assessment upper extremity, ARAT; Action research arm test), balance(BBS; Berg Balance Scale), mobility(FAC; Functional ambulation classification) and functional level(FIM; Functional independent measure). All Assessments took place on study entry and post-treatment assessments were performed at discharge from the hospital. Results: After prism adaptation, the visuospatial impairment scores improved as indicated in the line bisection(-15.2 to -6.02), latter cancellation(2 to 0) and LOTCA- spatial perception scores(7 to 9). The upper motor function improved as indicated in the scores of affected FMA U/E(21 to 40) and ARAT(4 to 22). Ambulation and balance improved as indicated in the BBS scores(25 to 38) and FAC scores(0 to 4). ADL function improved as indicated in the FIM total scores 54 to 70(motor 34 to 61, cognition 20 to 29). Conclusion: Prism adaptation did improve functional level such as motor functions and ADL abilities in TBI patient. Further research is recommended.

• 지역사회간호학회지
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• 제13권4호
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• pp.743-756
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• 2002

Purpose: This study is a descriptive and comparative study that compares health state and school adaptation between children in divorced family and in normal family. Study results will provide a basic data for the development of an intervention program designed to help children in divorced family adjust to their crisis. Method: The study subjects consisted of 700 children in 4th. 5th or 6th elementary school grade, residing Seoul and Kyunggi regions. Among these subjects, 123 were children with divorced family and 577 were children with normal family. The health status of the subjects was measured by Health Symptom Questionnaire developed by Shin and revised by the investigators. The instrument consisted of 30 items measuring physical and emotional health symptoms. The level of school adaptation of the subjects was measured by School Adaptation Scale developed by Lee, which consisted of 4 dimensions with 20 items what measures relationship with peer students, learning activity, observance of regulation, and participation of school activity. The investigators visited the schools and collected data in the classes using the questionnaire after explaining the purpose and procedures of the study to the children. The data were analyzed by descriptive statistics, $\yen\"{o}2$-test, t-test, ANOVA using the SPSS PC + statistical program. Result: First, the mean health state score in children with normal family (M=11.99) was higher than that in children with divorced family (M=19.15), showing a significant difference (t=-6.51, p=.000) between the two groups, which suggests that children with normal family have better health state than children with divorced family. Second, the mean school adaptation score in children with normal family (M=38.99) was higher than that in children with divorced family (M=26.97), showing a significant difference between the two groups (t=104.07, p=.000), which suggests that the school adaptation of children with normal family is better than that of children with divorced family. Third, in comparison of health state between the two groups by general characteristics. there were significant differences between the two groups in sex. the most contributing factor to health status of the children, school year. birth order, religion, school achievement, amount of monthly pocket money, parents level of formal education, occupation of parents, economic status (p<.05). Forth, in comparison of the level of school adaptation between the two groups by general characteristics, there were significant differences between the two groups in most variables (p<.05), suggesting that children with normal family had better capacity of school adaptation than children with divorced family. Conclusion: As a result. this study showed that the parent's divorce had great influence on children's health status and school adaptation capacity. The implication for nursing is that there is a need to develop supportive interventions for the high-risk children who have decreased health states and school adaptation capacity due to the divorce of their parents. In addition, it is recommended that further studies should be conducted to explore protective factors for the prevention of health and adaptation problems in children.

• 환경영향평가
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• 제25권4호
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• pp.296-306
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• 2016

기후변화에 대한 영향 및 위험은 지역적, 국지적 차원에서 더욱 확장되므로 기후변화에 따른 지역적 영향 및 특성을 반영한 기후변화 적응대책 마련의 필요성이 커지고 있다. 이에 본 연구에서는 기초지자체 적응대책의 분야별 사업 수 및 예산의 특성을 분석하고 피해사례와 비교 검토하여 기후변화 적응대책의 개선방향을 제시하고자 했다. 기초지자체 적응대책 특성 분석을 위해 군집분석을 통하여 지자체 적응대책의 유형별 특성을 파악 했다. 적응대책의 계획이 실제 기후변화로 인한 피해 내용을 잘 반영하고 있는지 검토하기 위하여 과거 24년 동안 지자체별 관측 영향 결과(신문기사 2,565건)와 비교 분석을 수행했다. 군집분석 수행 결과 군집은 4가지 유형으로 구분되었다. 전국 피해 유형으로 재난재해, 건강 부분에서 공통적으로 피해 빈도가 높은 것으로 분석되었으며, 적응계획 또한 재난재해, 건강, 농업, 물 관리 순서로 높은 비율을 보였다. 하지만 피해 사례 반영의 비중과 단기 및 장기 미래에 대한 고려 수준에 따라서 각 군집별로 피해빈도와 적응계획의 특성에서 차이를 보였다. 본 연구의 결과는 향후 기초지자체 특성 및 지역별 실질적 피해에 기반 한 적응대책 마련의 기초자료로 활용될 수 있을 것이라고 판단된다.

• 동서간호학연구지
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• 제3권1호
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• pp.96-103
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• 1998

This study was conducted to identify the adaptation process of the families with chronically ill patients. A descriptive comparative research design was used to the subjects of forty families that have stroke patients at an oriental medical hospital. Research tools were Demands of Illness Inventory(Woods, Haberman & Packard, 1987), Relative and Friend Support Index(McCubbin, Patterson & Glynn, 1982), Family Coping-Coherence Index (McCubbin, Larsen & Olson, 1982), Family Hardiness Index(McCubbin, McCubbin & Thompson, 1986), and Family Member Wellbeing Scale(McCubbin, McCubbin & Thompson, 1986). Data were collected from October 7, 1998 to November 7, 1998 at an oriental medical hospital located in IkSan city. The number of cases was forty and the data were analyzed by SPSS $PC^+$. Descriptive statistics of frequency, number, mean and standard deviation were used to report the results. The results were as follows ; 1. There was no significant differences between the two groups on the family stress. 2. There was significant differences between the two groups on the family strength (t value = - 3.09, p value=$.004^{**}$). 3. There was significant differences between the two groups on the family adaptation(t value= -2.08, pvalue=$.05^*$).

• 상하수도학회지
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• 제34권3호
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• pp.169-182
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• 2020

ODA finance in the water sector has decreased after reaching a peak in 2012 although total ODA commitments have steadily increased according to OECD DAC data. However, climate finance in the water sector has increased so much since 2013 according to 7 MDB Joint report on Climate Finance. Water, especially, in climate change is the main issue for adaptation, and the total finance in the water sector reached 50% of the international public adaptation finance in 2016. However, the procedures for approval and the requirements of the proposals for climate funds are different from those for development finance. Notwithstanding the changes in money flows in the water sector, most korean engineering consulting firms in the water infrastructure area are not ready to win the funds relating to climate change. Therefore, It is important to understand a variety of sources of climate funds, characteristics, funding scale on each purpose and procedures for approval. Korean government needs to provide the firms the opportunities to buildup experiences by getting involved in climate adaptation projects with the financial support for developing PPFs, concept notes, and proposals.

• KSII Transactions on Internet and Information Systems (TIIS)
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• 제14권7호
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• pp.2785-2799
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• 2020

We propose a novel speaker adaptation method using acoustic model clustering. The similarity of different speakers is defined by the cosine distance between their i-vectors (intermediate vectors), and various efficient clustering algorithms are applied to obtain a number of speaker subsets with different characteristics. The speaker-independent model is then retrained with the training data of the individual speaker subsets grouped by the clustering results, and an unknown speech is recognized by the retrained model of the closest cluster. The proposed method is applied to a large-scale speech recognition system implemented by a hybrid hidden Markov model and deep neural network framework. An experiment was conducted to evaluate the word error rates using Resource Management database. When the proposed speaker adaptation method using i-vector based clustering was applied, the performance, as compared to that of the conventional speaker-independent speech recognition model, was improved relatively by as much as 12.2% for the conventional fully neural network, and by as much as 10.5% for the bidirectional long short-term memory.

• 가정과삶의질연구
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• 제31권2호
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• pp.77-91
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• 2013

The purpose of this study is to investigate if self-esteem mediates the effects of conflict with parents, peer relationship and school adaptation in relation to the satisfaction with life of adolescents in multicultural families. The subjects of the present study are 152 adolescents of multicultural families ranging from 12-16 years of age from the cities of Seoul, and Daegu, and the provinces of Gyeong-gi, and Gyeong-buk, South Korea. The measured constructs are Conflict with Parents, Friendship, School Adaption, Self- Esteem and Satisfaction with Life Scale. The dates were analyzed using path analysis. The major results of this study demonstrate that self-esteem does not mediate the effects of conflict with parents and peer relationship in relation to the satisfaction with life of adolescents in multicultural families. However, self-esteem does mediate the effects of school adaptation in relation to the satisfaction with life of adolescents in multicultural families.

• 가정간호학회지
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• 제22권1호
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• pp.98-108
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• 2015

Purpose: This study was designed to explore the effects of core competencies on adaptation of the major, career identity and career search ability in nursing students. Methods: A correlational research design was used with the convenient sample of 360 nursing students. After explaining the purpose of this study to the participants, those who signed the consent form were provided with a self-descriptive questionnaire. Results: The highest average score of leadership of core competencies was 5.5 on 7 point-scale. The lowest average score of problem-solving ability was 4.4. There were significant correlations between adaptation of the major, career identity, and career search ability and core competencies, with the exceptions of nursing students. Adaptation of the major could be explained 25% by the instrument application ability, leadership, organizational structure, teamwork and career development. Career identity could be explained 13% by leadership, responsibility, teamwork, and career development. Career search ability could be explained 12% by responsibility, conflict management, teamwork, communication ability and career development. Conclusion: Based on the results, core competencies showed statistically significant effects on adaptation of the major, career identity and career search ability in nursing students. Thus, it is necessary to develop an educational curriculum to improve core competencies, career identify and career search ability.

• 여성건강간호학회지
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• 제20권1호
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• pp.14-28
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• 2014

Purpose: This study was to identify relationships of maternal psychosocial factors including mother's mood state, childcare stress, social support and sleep satisfaction with breastfeeding adaptation and immune substances in breast milk, especially secretory immunoglobulin A (sIgA) and transforming growth factor-beta 2 (TGF-${\beta}2$). Methods: Data were collected from 84 mothers who delivered full-term infants by natural childbirth. Structured questionnaires and breast milk were collected at 2~4 days and 6 weeks postpartum. Data were analyzed using descriptive statistics, Pearson's correlation, multiple linear regression, and generalized estimating equation (GEE). Results: Scores for the breastfeeding adaptation scale were significantly related with child care stress, mood state and social support. Mother's anger was positively correlated with the level of sIgA in colostrum (p<.01). Immune substances of breastmilk was significantly influenced by time for milk collection (p<.001) and the type of breastfeeding (sIgA, p<.001, TGF-${\beta}2$, p=.003). Regression analysis showed that breastfeeding adaptation could be explained 59.1% by the type of breastfeeding, childcare stress, the Profile of Mood States, emotional support and sleep quality (F=16.67, p<.001). Conclusion: The findings from this study provide important concepts of breastfeeding adaptation program and explanation of psychosocial factors by immune substances in breast milk. Future research, specially, bio-maker research on breast milk should focus on the ways to improve breastfeeding adaptation.

• 제어로봇시스템학회:학술대회논문집
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• 제어로봇시스템학회 1989년도 한국자동제어학술회의논문집; Seoul, Korea; 27-28 Oct. 1989
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• pp.856-861
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• 1989

The control of a class of large scale systems formed by an arbitrary linear interconnections of linear time-invariant subsystems with unknown parameters is investigated. An approach is developed for improving the robustness of such a large scale system. In doing so, the new parameter adaptation algorithm(PAA) is used and a sufficient condition of stability is discussed by using the sector theory.