• Title/Summary/Keyword: Self-assessment

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Development of a Modified Disability Questionnaire for Evaluating Disability Caused by Backache in India and Other Developing Countries

  • Aithala, Janardhana P.;Kumar, Suraj;Aithal, Shodhan;Kotian, Shashidhar M.
    • Asian Spine Journal
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    • v.12 no.6
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    • pp.1106-1116
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    • 2018
  • Study Design: Prospective observational study. Purpose: To evaluate the disability domains relevant to Indian patients with low backache and propose a modified disability questionnaire for such patients. Overview of Literature: The Oswestry Disability Index (ODI) is a self-reported measurement tool that measures both pain and functional status and is used for evaluating disability caused by lower backache. Although ODI remains a good tool for disability assessment, from the Indian perspective questions related to weight lifting and sexual activity of ODI are questioned in some of the earlier studies. Activities of daily living in Indian patients vary substantially from those in other populations and include activities like bending forwards, sitting in floor and squatting which are not represented in the ODI. Methods: In this prospective observational study, a seven-step approach was used for the development of a questionnaire. Thirty patients were interviewed to identify the most challenging issue they faced while performing their daily activities (by free listing) and understand how important the questionnaire items were in terms of the standard ODI. Thus, a comprehensive disability questionnaire comprising 14 questions was developed and administered to 88 patients. Both qualitative (interviews) and quantitative methods (to establish the validity, reliability, and correlation with the Visual Analog Scale [VAS] and Rolland Morris disability questionnaire) were used to identify the 10 questions that best addressed the disability domains relevant to Indian patients. Results: According to free listing, four new questions pertaining to bending forward, sitting on the floor, walking on uneven surfaces, and work-related disabilities were included. In the second phase, wherein the questionnaire with 14 items was used, 56.8% patients did not answer the questions related to sexual activity, whereas 23.8% did not answer those related to walking on uneven surfaces. The modified questionnaire demonstrated good internal consistency (Cronbach's alpha=0.892) and correlation with the Rolland Morris questionnaire (Cronbach's alpha=0.850, p>0.05), as well as with the VAS score for disability (Cronbach's alpha=0.712, p>0.05) and pain (Cronbach's alpha=0.625, p>0.05). Conclusions: A modified disability questionnaire that was designed by adding two questions related to bending forward and work status and removing questions related to sexual activity and weight lifting or traveling (depending on the occupation) can help evaluate disability caused by back pain in Indian population.

Psychometric Characteristics of Korean Version of Life Balance Inventory (K-LBI) and Relationship Between Life Balance and Sensory Processing (한국판 삶의 균형 척도의 심리측정적 특성 및 감각 처리와의 관련성)

  • Kim, Eun Young;Lee, Sun Wook;Kim, Young;Lee, Sang-Heon;Kim, Heyjin;Gwon, Jung-A
    • The Journal of Korean Academy of Sensory Integration
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    • v.16 no.2
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    • pp.36-49
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    • 2018
  • Objective : The purpose of this study was to examine the validity and reliability of the Korean version of Life Balance Inventory (K-LBI) and to present the relationship between life balance and sensory processing. Methods : K-LBI was constructed through forward and backward translation. Convergent validity, internal consistency, and test-retest reliability were tested for college students. To verify convergent validity, correlation analyses between K-LBI and Korean version of Perceived Stress Scale, Korean version of Satisfaction With Life Scale, and Adult Self Report-Achenbach system of empirically based assessment were performed. Split-half reliability and test-retest reliability were also obtained for reliability verification. We performed the correlation analysis between K-LBI and Korean version of Adolescent/Adult Sensory Profile. Results : A significant correlation was found between K-LBI and the scales for convergent validity. A favorable split-half reliability and test-retest reliability were calculated. The positive correlations were found between relationship life balance and sensory sensitivity/sensation avoiding quadrants. The negative correlation was found between challenges life balance and low registration. Conclusion : This study shows that K-LBI is a valid and reliable tool in Korea. It also provides an in-depth understanding of the relationship between life balance and sensory processing.

An Evaluation of Motivational Interviewing Based Communication Training to Promote Communication Competency for Nursing Students (간호대학생의 의사소통 능력 함양을 위한 동기면담 기반 의사소통 훈련의 효과)

  • Kim, Hee-Jung
    • Stress
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    • v.26 no.4
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    • pp.268-276
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    • 2018
  • Background: The purpose of this study is to evaluate the effects of the Motivational Interviewing (MI) based communication training for third-year nursing students. Methods: This study use a quasi-experimental design with pre and post-test to evaluate a 4-hour MI based communication training. This training was offered to 35 third-year nursing students who were participating in elective psychiatric nursing clerkship course. Each student completed pre and post questionnaire which includes assessment of motivational interviewing skills as measured by Helpful Response Questionnaire (HRQ). Also confidence (5 items) in using MI based communication knowledge and core skills were included. Data were independently analyzed by two coders and blindly rated the pre and post HRQ self-reported responses. Data were analyzed using paired t-test, descriptive analysis. Results: Nursing students showed increasing use of reflection (4.10~5.67, p<.001), decreasing use of closed-ended question (2.00~0.73, p<.001), road blocks (2.94~0.64, p<.001), and improve in depth of reflection (12.79~20.86 p<.001). But they did not show significant changes in open-ended question (2.01~2.33, p=.257). Confidence in the interview has increased overall, except for reflecting. The overall satisfaction with the training was quite high, and the most helpful training method was group and individual feedback. Conclusions: This study provides evidences that 4 hour-training is effective in core skills such as reflection and depth of reflection, and also confidence in interviews. It is necessary to develop step-by-step training modules to enhance undergraduate communication skills. It is necessary to develop an effective training strategy focused on students' confidence in open-ended questions and reflection.

Prevalence of Emotional Distress and Related Factors of Orthopedic Surgical Patients in a Military Hospital : A Cross-sectional Feasibility Study (군 병원 정형외과계 입원환자의 정서문제 유병률과 관련 요인)

  • Oh, In Mok;Hong, Minseok;Lee, Soo Yeon;Yoon, Ga Hee;Lee, Ho;Kim, Myung Jin;Kim, Hyun Mi;Lee, Sang Don
    • Anxiety and mood
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    • v.15 no.2
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    • pp.115-121
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    • 2019
  • Objective : The purpose of this study was to investigate prevalence of psychiatric symptoms and determine predictors of emotional distress of military hospital surgical patients. Methods : This study examined 104 orthopedic patients admitted to the Armed Forces Military Hospital September-November 2018. For the study, every subject completed self-assessment inventories regarding depressive and anxiety symptoms (Hospital Anxiety and Depression Scale), sleep problems (Pittsburgh Sleep Quality Index), problematic alcohol and tobacco use (Cut off, Annoyed, Guilty, Eye-opener screening), and psychiatric history. We performed the Student's t-test and the chi-square test for the collected data to investigate the prevalence of psychiatric symptoms, including emotional distress. Logistic regression analysis was used to examine the risk factors related to emotional distress of hospitalized military personnel. Results : There were no significant differences in socio-demographic and psychiatric symptoms between soldiers and officers. The prevalence of depressive and/or anxiety symptoms (emotional distress) was 21.2% (n=21). In the logistic regression analysis, psychiatric history [Adjusted Odds Ratio (AOR)=18.99 ; 95% Confidence Interval (CI)=1.42-253.57 ; p=0.026] and low military life satisfaction (AOR=15.67; 95% CI=1.46-168.11 ; p=0.023) correlated with emotional distress. Conclusion : Soldiers admitted to the military hospital showed similar prevalence of emotional distress as those at general hospitals. Considering military circumstances, it is necessary to detect and intervene regarding soldiers with a psychiatric history and low military life satisfaction to promote mental health at military hospitals.

An Analysis on the Status of Barrier Free Design Certifications in Center for Elderly (경로당 건축물의 장애물 없는 생활환경 인증실태 분석)

  • Lee, Jeong-Soo;Oh, Young-Sook;Eun, Dong-Shin
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.12
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    • pp.313-320
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    • 2018
  • The purposes of this study were to verify the status of Barrier Free Design Certification in the center for the elderly. To achieve these purposes, the architectural characteristics of the center for elderly and the status of Barrier Free Design Certification was analyzed. The results of this study were as follows. (1) The functional composition of centers for the elderly are similar regardless of the location, but the area and shape of the plot are very different according to the location. (2) According to an analysis on the status of Barrier Free Design Certification in centers for elderly, the sanitation and intermediate facilities are necessarily considerable adjustment. (3) For the accessability and conveniences of Barrier Free Design Certification in a small building, such as centers for the elderly, they are necessary to simplify the self-assessment documents, minimize the period for judging, and reducing the fees for certification.

Analysing the Use of Test Tools in Science-Related Affective Domain and its Improvements (과학 관련 정의적 영역 검사 도구 활용 및 개선 내용 분석)

  • Chung, Sue-Im;Shin, Donghee
    • Journal of The Korean Association For Science Education
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    • v.39 no.2
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    • pp.263-277
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    • 2019
  • This study analyzed the current use of science-related test tools in affective area in Korean academic journals for the last 30 years since 1989 and the cases of modification of the original tools related to the tools. This provides practical information on the development and improvement of test tools in the future and offers the basis for developing valid test tools. The study was conducted in two stages. We analyzed the status of 88 domestic science education researches dealing with testing tools related affective characteristics and 57 domestic and foreign resource tools referenced by them. After that, we compared the characteristics of the five cases in which the original tool was revised and the concrete item correction examples. The results were analyzed as follows: topics that have emerged continuously or that have recently begun to appear in domestic research, the research situations according to their purpose and measurement methods used by the tool, and use state of original tools. The background and key points of revision were analyzed for the five tools, TOSRA, SAI, PISA items, STEBI-A/B, SMQ, whose revision process were disclosed. In addition, the changes of the items were analyzed by comparing the four test items with the questions before and after the revision. As a result of item analysis, item improvement was proceeding in the direction of enhancing readability, clarifying meaning, and changing items according to change of sub constructs. The implications of this study are as follows: notes on interpreting the results obtained from the tool with multiple mixed constructs, the possibility of the testing tool that broadens the horizon of the research, error recognition in the subjective self-report, and notes when applying test tools from other disciplines to science.

Exploring Policy Contexts and Sustainable Management Structure for Park Regeneration - A Focus on the Case of Green Estate Ltd, Sheffield, UK - (공원 재생을 위한 정책 및 지속 가능한 경영구조 연구 - 그린 에스테이트 사례를 중심으로 -)

  • Nam, Jin-Vo;Kim, Nam-Choon;Kim, Du-Won
    • Journal of the Korean Society of Environmental Restoration Technology
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    • v.22 no.4
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    • pp.15-34
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    • 2019
  • Today, there is increasing recognition of the importance of urban regeneration for better public places. Urban parks as a public area play an important role in harnessing its positive impact on people's well-being: where the standards and funding of/for the parks are getting worse. There is however less a focus on policy approach to park regeneration in the country. Neverthless, a few UK's cases of such innovative park management(PM) has shown successful park regeneration based on policy support. Therefore, the aim of this research is to draw policy implications by exploring a case of successful park regeneration. To address the aim, this research conducts an in-depth case study of 'Manor Fields Park, UK', digging into its PM structure and PM body 'Green Estate Ltd' in relation to relevant policy. The data is mainly collected by interviews including a group interview. The analytical framework 'Place-keeping(PK)' and its six dimensions are employed to determine the characteristics of MFP's PM structure. Resultingly, there is a significant shift in the approach to PM which stresses the principle of long-term and self-sustaining structure led by a non-profit organisation and strong impacts of policy. In this context, PK highlights significant drivers for parks regeneration particularly in terms of policy implications: 1)providing policy support to encourage non-profit organisations in PM, 2)extending community involvement in decision-making processes, 3)promoting income generation by community groups, 4)shifting public awareness of shared responsibility for PM, 5)completing regular park maintenance assessment by community groups, and 6)delivering low-maintenance approaches to PM. To support these implications, PM structure for successful parks regeneration does meet a holistic and multi-dimensional approach of place-keeping underlined by understanding policy contexts and rethinking current status quo of PM. Addressing these implications will shed light on urban PM in an era of austerity and ultimately contribute to improving people's well-being.

The Reliability and Validity of Smart Insole for Balance and Gait Analysis (균형과 보행분석을 위한 스마트 인솔의 신뢰도와 타당도 분석)

  • Lee, Byoung-Kwon;Han, Dong-Wook;Kim, Chang-Young;Kim, Gi-Young;Park, Dae-Sung
    • Journal of The Korean Society of Integrative Medicine
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    • v.9 no.4
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    • pp.291-298
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    • 2021
  • Purpose: The Pedisole is a newly developed shoe-mounted wearable assessment system for analyzing balance and gait. This study aimed to determine the reliability and validity of the parameters provided by the system for static balance and gait analysis of healthy adults. Methods: This study included 38 healthy adults (22.4±1.9 years) with no history of injury in the lower limbs. All participants were asked to perform balance and gait tasks for undertaking measurements. For analysis of balance, both the smart Pedisole and Pedoscan systems were concurrently used to analyze the path length of the center of pressure (COP) and the weight ratio of the left and right for 10 s. Gait was measured using the smart Pedisole and GaitRite walkway systems simultaneously. The participants walked at a self-selected preferred gait speed. The cadence, stance time, swing time, and step time were used to analyze gait characteristics. Using the paired t-test, the intra-class coefficient correlation (ICC) was calculated for reliability. The Spearman correlation was used to assess the validity of the measurements. In total, data for balance from 36 participants and the gait profiles of 37 participants were evaluated. Results: There were significant differences between the COP path lengths (p<.050) derived from the two systems, and a significant correlation was found for COP path length (r=.382~.523) for static balance. The ICC for COP path length and weight ratio was found to be greater than .687, indicating moderate agreement in balance parameters. The ICC of gait parameters was found to be greater than .697 except for stance time, and there was significant correlation (r=.678~.922) with the GaitRite system. Conclusion: The newly developed smart insole-type Pedisole system and the related application are useful, reliable, and valid tools for balance and gait analysis compared to the gold standard Pedoscan and the GaitRite systems in healthy individuals.

Jeongjae(正齋) Nam Dae-nyeon's(南大秊) Study and Thought (정재(正齋) 남대년(南大秊)의 학문과 사상)

  • Lim, Ok-kyun
    • The Journal of Korean Philosophical History
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    • no.53
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    • pp.63-100
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    • 2017
  • In this article, I researched Nam Dae-nyeon's(1887~1958) thought of Neo-confucian theories, interpretation of confucian canons, and evaluation of historical figures. First, from the side of Neo-confucian theories, he asserted that Qi(氣) had behaviors and Li(理) had not. About his teacher Jeon Wu's(田愚) theories, he thought that those were in tradition of Confucius(孔子) and Mencius(孟子), but not emphasized presidence of mind. And he criticized the theory of mind was Li(理). Second, from the side of interpretation of Confucian canons, Nam Dae-nyeon's study centered on Four Books(四書). This showed he was in tradition of Neo-confucianism. Through this studies he emphasized the importance of Confucian Ren(仁) and Filial piety(孝), self-consciousness as gentry(士). Third, from the side of evaluation of historical figures, Nam Dae-nyeon evaluated many Chinese and Korean scholars, for example, Qu Yuan(屈原), Lu Zhong-lian(魯仲連), Zhen De-xiu(眞德秀), Lu Long-qi((陸?其), Zhang Lu-xiang (張履祥) of China, and Jeong Mong-ju(鄭夢周), Zho Kwang-jo(趙光祖), Yi Hwang(李滉), Yi Yi(李珥), Jeon Wu(田愚) of Korea. And his criteria for evaluation of historical figures was fidelity and insight.

Assessment of the Structural Collapse Behavior of Between Offshore Supply Vessel and Leg in the Jack-up Drilling Rig (잭업드릴링 리그의 레그와 작업 지원선 충돌에 의한 구조붕괴 거동 평가)

  • Park, Joo-Shin;Seo, Jung-Kwan
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.28 no.4
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    • pp.601-609
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    • 2022
  • Jack-up drilling rigs are mobile offshore platforms widely used in the offshore oil and gas exploration industry. These are independent, three-legged, self-elevating units with a cantilevered drilling facility for drilling and production. A typical jack-up rig includes a triangular hull, a tower derrick, a cantilever, a jackcase, living quarters and legs which comprise three-chord, open-truss, X-braced structure with a spudcan. Generally, jack-up rigs can only operate in water depths ranging from 130m to 170m. Recently, there has been an increasing demand for jack-up rigs for operating at deeper water levels and harsher environmental conditions such as waves, currents and wind loads. All static and dynamic loads are supported through legs in the jack-up mode. The most important issue by society is to secure the safety of the leg structure against collision that causes large instantaneous impact energy. In this study, nonlinear FE -analysis and verification of the requirement against collision for 35MJ recommended by DNV was performed using LS-Dyna software. The colliding ship used a 7,500ton of shore supply vessel, and five scenarios of collisions were selected. From the results, all conditions do not satisfy the class requirement of 35MJ. The loading conditions associated with chord collision are reasonable collision energy of 15M and brace collisions are 6MJ. Therefore, it can be confirmed that the identical collision criteria by DNV need to be modified based on collision scenarios and colliding members.