• 제목/요약/키워드: Self-diagnostic

검색결과 342건 처리시간 0.028초

Analysis of Image Distortion on Magnetic Resonance Diffusion Weighted Imaging

  • Cho, Ah Rang;Lee, Hae Kag;Yoo, Heung Joon;Park, Cheol-Soo
    • Journal of Magnetics
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    • 제20권4호
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    • pp.381-386
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    • 2015
  • The purpose of this study is to improve diagnostic efficiency of clinical study by setting up guidelines for more precise examination with a comparative analysis of signal intensity and image distortion depending on the location of X axial of object when performing magnetic resonance diffusion weighted imaging (MR DWI) examination. We arranged the self-produced phantom with a 45 mm of interval from the core of 44 regent bottles that have a 16 mm of external diameter and 55 mm of height, and were placed in 4 rows and 11 columns in an acrylic box. We also filled up water and margarine to portrait the fat. We used 3T Skyra and 18 Channel Body array coil. We also obtained the coronal image with the direction of RL (right to left) by using scan slice thinkness 3 mm, slice gap: 0mm, field of view (FOV): $450{\times}450mm^2$, repetition time (TR): 5000 ms, echo time (TE): 73/118 ms, Matrix: $126{\times}126$, slice number: 15, scan time: 9 min 45sec, number of excitations (NEX): 3, phase encoding as a diffusion-weighted imaging parameter. In order to scan, we set b-value to $0s/mm^2$, $400s/mm^2$, and $1,400s/mm^2$, and obtained T2 fat saturation image. Then we did a comparative analysis on the differences between image distortion and signal intensity depending on the location of X axial based on iso-center of patient's table. We used "Image J" as a comparative analysis programme, and used SPSS v18.0 as a statistic programme. There was not much difference between image distortion and signal intensity on fat and water from T2 fat saturation image. But, the average value depends on the location of X axial was statistically significant (p < 0.05). From DWI image, when b-value was 0 and 400, there was no significant difference up to $2^{nd}$ columns right to left from the core of patient's table, however, there was a decline in signal intensity and image distortion from the $3^{rd}$ columns and they started to decrease rapidly at the $4^{th}$ columns. When b-value was 1,400, there was not much difference between the $1^{st}$ row right to left from the core of patient's table, however, image distortion started to appear from the $2^{nd}$ columns with no change in signal intensity, the signal was getting decreased from the $3^{rd}$ columns, and both signal intensity and image distortion started to get decreased rapidly. At this moment, the reagent bottles from outside out of 11 reagent bottles were not verified from the image, and only 9 reagent bottles were verified. However, it was not possible to verify anything from the $5^{th}$ columns. But, the average value depends on the location of X axial was statistically significant. On T2 FS image, there was a significant decline in image distortion and signal intensity over 180mm from the core of patient's table. On diffusion-weighted image, there was a significant decline in image distortion and signal intensity over 90 mm, and they became unverifiable over 180 mm. Therefore, we should make an image that has a diagnostic value from examinations that are hard to locate patient's position.

구강안면 운동장애의 임상적 증상 발현 (Clinical Manifestations in Orofacial Movement Disorders)

  • 유지원;윤창륙;조영곤;안종모
    • Journal of Oral Medicine and Pain
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    • 제33권4호
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    • pp.375-382
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    • 2008
  • 구강안면 운동장애에 관한 진단 및 치료에 관한 기초를 수립하기 위하여 2007년 9월부터 2007년 12월까지 조선대학교 치과병원 구강내과에 내원한 33명의 구강안면 운동장애 환자의 연령, 성별, 전신병력 및 주소에 관한 진단명, 자각여부, 구강안면 운동의 유형 등을 분석한 결과 다음과 같은 결과를 얻었다. 1. 여자가(81.82%)가 남자(18.18%)보다 구강안면 운동장애에 많이 이환되었으며, 평균 연령은 72.78($56{\sim}87$)세였다. 2. 대부분 전신질환에 이환되어 있었고(81.82%), 가장 높은 빈도를 보인 전신질환은 고혈압(22.41%)이었으며, 당뇨(17,24%), 우울증(8.62%), 위염(8.62%)순이었다. 3. 임상증상을 분석한 결과, 측두하악장애가 17명(33.33%)으로 가장 많았으며, 연조직질환(11명, 21.57%), 구강작열감증후군(9명, 17.65%), 구강운동(8명, 15.69%), 광범위한 안면통증(6명, 11.76%) 순이었다. 4. 특정한 원인 없이 증상이 발현한 경우가 72.73%로 가장 많았으며, 보철치료 후 증상이 발현된 경우가 24.24%, 우울증약 복용과 관련이 있는 경우가 3.03%이었다. 5. 구강안면운동의 유형을 평가한 결과, 폐구형(close)이 가장 많았으며(9명, 50%), 측방형(6명, 33.33%), 개구형(3명, 16.67%) 순이었다. 6. 구강안면운동를 자각하고 있지 못하는 경우가(54.55%) 자각하고 있는 경우(45.45%)보다 더 많았다. 따라서 치과의사는 구강안면통증 환자를 치료하는데 있어 구강안면 운동장애의 가능성을 항상 염두에 두어야 한다. 또한 정확한 진단 및 처치를 통해 불필요하고 비가역적인 치료를 최소한으로 줄이고자 항상 노력을 기울여야 할 것이다.

Keyhole 방법을 이용한 MR 온도감시영상의 시간해상도 향상기법 (Time Resolution Improvement of MRI Temperature Monitoring Using Keyhole Method)

  • 한용희;김태형;천송이;김동혁;이광식;은충기;전재량;문치웅
    • Investigative Magnetic Resonance Imaging
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    • 제13권1호
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    • pp.31-39
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    • 2009
  • 목적 : 본 연구는 PRF(Proton Resonance Frequency)를 이용한 MR 온도감시 영상에서 시간 해상도를 keyhole방법 적용으로 향상시키고자하였다. 제시된 keyhole방법과 기존 온도영상 방법 사이의 비교를 위해 온도 값에 대한 RMS(Root Mean Square) 오차와 SNR(Signal to Noise Ratio)을 비교하였다. 대상 및 방법 : PRF 방법과 GRE(Gradient Recalled Echo)를 이용하여 MR 온도영상을 구현하였으며 장비로는 임상용 1.5T MRI 장치를 이용하였다. 인체모사 조직인 2% 한천 젤 팬텀과 돼지 근육조직으로 실험을 수행하였다. 2.45GHz대역의 마이크로파 발생장치로 MR호환 동축 슬롯 안테나를 구동하여 MRI장치 내에서 대상 조직과 팬텀을 5분간 가열하였다. 가열 직후 10분 동안에 순차적으로 MR 원 데이터를 획득하였다. 획득된 원 데이터는 PC로 전송되어 전체 위상을 부호화하여 얻은 원 데이터의 바깥영역과 K-space의 중앙 영역을 각각 128, 64, 32, 16으로 위상부호화된 데이터로 keyhole영상을 재구성하였다. 256개로 전체 부호화된 자체-참조 온도영상과 RMS 오차를 비교하였으며, zero-filling 영상과 SNR비교를 하였다. 결과 : keyhole 온도 영상에서 위상부호화 수가 128, 64, 32, 16으로 줄어들수록 RMS 오차로 산출한 온도의 차이가 0.538, 0.712, 0.786, 0.845$^{\circ}C$ 만큼 증가하였으나 SNR 값은 keyhole의 위상부호화 수가 줄어도 유지되었다. 결론 : 본 연구는 고정된 매트릭스 크기에 keyhole 방법 적용을 이용하여 온도 감시에서의 시간해상도 증가와 SNR 값을 유지하는 결과를 도출하여 성공적인 적용을 보여 주었다. 본 연구를 기반으로 한 다음 연구에서는 최적화된 변수를 이용한 keyhole 방법 적용으로 최소 온도 오차의 실시간 MR 온도 감시가 가능할 것이라 예상된다.

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중년여성의 스트레스와 갱년기 증상과의 관계 (The Relationship between the Stress and Climacteric symptoms of Middle-Aged Women)

  • 박복희;이영숙
    • 여성건강간호학회지
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    • 제6권3호
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    • pp.383-397
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    • 2000
  • This study of purpose was to define the relationship between the stress and climacteric symptoms of middle-aged women in order to provide basic data for the development of women's health care program as nursing intervention. The research tools used were a Soon-Young Park's stress questionnaire (4 points scale) and a self diagnostic MENSI scale (3 points scale) developed by a research team of Ill-Yang Pharmacy Co. This research was conducted in Korea in Muan-Gun. Chonnam province, from 22th November to 20th December 1999. The research used a survey design. Seven hundred eleven healthy middle-aged women, aged 40 to 64, and were a convenience sample by stratified ratio using the matching fixed residential and aging blocks. The data were analyzed by GLM. Pearson correlation coefficient and Scheffe test using SAS/ PC+. The results were summarized as follows : 1. The percentage of psychological stress with the following items was: fatigue and enervation, 70.0%; nervous, 61.8%; weakness, 58.5%; The percentage of physical stress with the following items were ; fatigue of eye. 82.3%; backache, 78.0%; headache, 73.8%. 2. The level of psychological stress was 40% of below average level (0-5 points), 31.7 of average level (6-12points), 20.8% of precaution level (13-19 points), and 7.5% of warning level (over 20points). The level of physical stress were 20.1% of below average level (0-5 points), 34.8 of average level (6-12 points), 29.4 of precaution level (13-19 points), and 15.7% of warning level (over 20 points). There were higher physical stress level than psychological stress level of the subjects. 3. The percentage of climacteric symptoms with the following items were : numbness, 75.3%; forgetfulness, 71.0%; pain of joints, 71.0%. The level of climacteric symptoms were 61.8% of mild level 1(10-15 points), 33.0% of moderate level (16-30 points), 5.2% of severe level (over 31 points). 4. There were high positive correlations significantly between the climacteric symptoms and the psychological stress (r=.564. P<0.000), and between the climacteric symptoms and the physical stress of the subjects(r=.678, P<0.000). 5. There were significant differences in the climacteric symptoms of the subjects among below average level, average level, precaution level, and warning level of the psychological stress (F=74.108. P<0.000. Scheffe test). 6. There were significant differences in the climacteric symptoms of the subjects among below average level, average level and precaution level, and warning level of the physical stress ((F=128.181, P<0.000, Scheffe test). In summary, climacteric symptoms complained by middle-aged women are high positive correlated to the level of the stress. Also climacteric symptoms were affected by stress.

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인터넷 상에서의 윤리적 인지와 도덕적 행동 관련성 : 대학생의 도덕 판단력과 정보윤리 판단력, 인터넷윤리의식 간의 관계를 바탕으로 (Relationship of Ethics Consciousness in Internet and Moral Behavior : Analysis of The Relation among Moral Judgement, Information Ethics Judgement and Internet Ethics Consciousness of Undergraduate Students)

  • 장순선;이옥화
    • 컴퓨터교육학회논문지
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    • 제17권2호
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    • pp.11-19
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    • 2014
  • 현재 인터넷윤리교육은 통합적 도덕성을 바탕으로 한 윤리교육 모델에 기반하여 이루어지고 있다. 즉 인지적인 영역과 행동적인 영역이 상관관계를 가지고 윤리적 인지가 도덕적 행동으로 실행될 것으로 기대한 학습모델이다. 그러나 인터넷윤리교육이 범국민적으로 추진되고 있지만, 정보화의 역기능으로 인한 문제는 증가하고 있다. 본 연구에서는 효과적인 인터넷윤리교육에 대한 시사점을 도출하고자 윤리적 인지와 도덕적 행동이 관련이 있는지 분석하였다. 현실에서의 도덕적 행동에 관한 측정 도구는 '도덕 판단력', 인터넷 상에서의 도덕적 행동은 '정보윤리 판단력', 인터넷에서의 윤리적 인지는 '인터넷윤리의식' 자가진단 도구를 사용하여 수준을 측정하고 이들 간의 관계를 분석하였다. 연구결과 대학생들의 도덕 판단력과 정보윤리 판단력, 인터넷윤리의식 수준은 전반적으로 현저히 낮았다. 도덕 판단력과 정보윤리 판단력은 약한 상관관계를 가지고 있어 현실에서의 행동과 인터넷 상에서의 행동은 거의 상관관계가 없는 것으로 나타났다. 정보윤리 판단력, 인터넷윤리의식 간에도 유의미한 상관관계가 없었다. 즉 인터넷 상에서의 인지와 행동은 상관관계가 없으므로, 인터넷윤리교육은 윤리적인지가 윤리적 행동으로 이어진다는 이론에 근거한 윤리교육학습 모델과는 다른 교육모델을 기반으로 수행되어야 한다. 인터넷윤리교육은 윤리적 인식과 도덕적 행동을 각각 중요한 교수영역으로 다루어야 한다.

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Breast Screening and Breast Cancer Survival in Aboriginal and Torres Strait Islander Women of Australia

  • Roder, David;Webster, Fleur;Zorbas, Helen;Sinclair, Sue
    • Asian Pacific Journal of Cancer Prevention
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    • 제13권1호
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    • pp.147-155
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    • 2012
  • Aboriginal and Torres Strait Islander people comprise about 2.5% of the Australian population. Cancer registry data indicate that their breast cancer survivals are lower than for other women but the completeness and accuracy of Indigenous descriptors on registries are uncertain. We followed women receiving mammography screening in BreastScreen to determine differences in screening experiences and survivals from breast cancer by Aboriginal and Torres Strait Islander status, as recorded by BreastScreen. This status is self-reported and used in BreastScreen accreditation, and is considered to be more accurate. The study included breast cancers diagnosed during the period of screening and after leaving the screening program. Design: Least square regression models were used to compare screening experiences and outcomes adjusted for age, geographic remoteness, socio-economic disadvantage, screening period and round during 1996-2005. Survival of breast cancer patients from all causes and from breast cancer specifically was compared for the 1991-2006 diagnostic period using linked cancer-registry data. Cox proportional hazards regression was used to adjust for socio-demographic differences, screening period, and where available, tumour size, nodal status and proximity of diagnosis to time of screen. Results: After adjustment for socio-demographic differences and screening period, Aboriginal and Torres Strait Islander women participated less frequently than other women in screening and re-screening although this difference appeared to be diminishing; were less likely to attend post-screening assessment within the recommended 28 days if recalled for assessment; had an elevated ductal carcinoma in situ but not invasive cancer detection rate; had larger breast cancers; and were more likely than other women to be treated by mastectomy than complete local excision. Linked cancer registry data indicated that five-year year survivals of breast cancer cases from all causes of death were 81% for Aboriginal and Torres Strait Islander women, compared with 90% for other women, and that the former had larger breast cancers that were more likely to have nodal spread at diagnosis. After adjusting for socio-demographic factors, tumour size, nodal spread and time from last screen to diagnosis, Aboriginal and Torres Strait Islander women had approximately twice the risk of death from breast cancer as other women. Conclusions: Aboriginal and Torres Strait Islander women have less favourable screening experiences and those diagnosed with breast cancer (either during the screening period or after leaving the screening program) have lower survivals that persist after adjustment for socio-demographic differences, tumour size and nodal status.

농부중의 정신적 원인에 대한 연구 (Psychiatric Factors Associated with Farmers' Syndrome)

  • 박태진;이가영
    • 농촌의학ㆍ지역보건
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    • 제22권1호
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    • pp.49-59
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    • 1997
  • Backgrounds : There has been many studies investigating the causes of farmers' syndrome. In some studies, psychologic stress is related to farmer's syndrome. And the diagnostic criteria of farmer's syndrome is similar to those of generalized anxiety disorder. So we carried out this study to investigate the psychiatric causes of farmers' syndrome. Methods : This study was done in some rural and urban areas of Kyoungsangnam Province, July, August, October and November of 1996. Those who came to free medical service and completed interview, medical examination and laboratory examination and 20-59 years old were 150 persons. And those who came to health center for health examination and completed only interview and 20-59 years old were 94 persons. The questionnaire was composed of sociodemographic factors, health risk factors, farmer's syndrome, work load, BEPSI(inventory to measure stress), Spielberger's state-trait anxiety inventory, self-rating depression scale. To examine statistical significance, we used X2-test, Mantel-Haenszel test for linear association, t-test, ANCOVA, correlation, multiple regression, logistic regression. Results : The prevalence of farmer's syndrome, adjusted for age and sex with population of Kyungsangnam Province of 1993 was 208 per 1,000(90 per 1,000 in men and 329 per 1,000 in women). In bivariate analysis, farmer's syndrome was significantly related to age, sex, job, income, smoking, alcohol drinking, work load, BEPSI, state anxiety, trait anxiety, depression, body mass index, Hwa-Byung, hypertension, anemia. However, when age and sex were adjusted, job was not significantly related to farmer's syndrome. The score of farmer's syndrome was significantly related to age, sex, work load, BEPSI, trait anxiety by multiple regression. Farmer's syndrome was significantly related to increasing age(odd ratio 1.079, 95% C.I. 1.060 - 1.099), sex(odds ratio of male 0.434, 95% C.I. 0.349 - 0.540), and BEPSI(odds ratio 1.231, 95% C.I. 1.148 - 1.320) by logistic regression. Results of logistic regression analysis of the component symptoms of farmer's syndrome were as follows. Shoulder stiffness was significantly related to increasing age, female sex and BEPSI. Lumbago was significantly related to increasing age, female sex and trait anxiety. Numb limbs and nocturia was significantly related to increasing age and female sex. Breathlessness was significantly related to work load, sleeplessness was significantly related to depression, dizziness was significantly related to job and state anxiety, and abdominal fullness was significantly related to female sex. Conclusion : Farmers' syndrome was related to work load, but was more related to psychiatric factors such as BEPSI and trait anxiety. And the occupation was not risk factor of farmers' syndrome in this study, so further study is needed to investigate the cause of farmers' syndrome.

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대학의 산학협력 지원이 졸업생의 임금에 미치는 영향에 관한 연구 (The Effects of Graduate wages on support program of University-Industry Cooperation(UIC))

  • 박태식;박문수;손희전
    • 통상정보연구
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    • 제17권2호
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    • pp.227-251
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    • 2015
  • 박근혜 정부의 정책아젠다인 창조경제 생태계조성에 산학협력이 주요한 내용으로 등장하면서 산학협력에 대한 관심은 높아지고 있다. 본 연구는 연구재단의 산학협력자료와 한국직업능력개발원의 한국교육고용패널 9차(2012)년도 자료를 연결하여 대학의 산학협력지원이 졸업생의 임금에 미치는 영향을 산학협력활동 4개 부문별로 살펴보았다. 분석결과 교육부문은 전체 학과 수 대비 현장실습 이수 학생 비율이 높으면 총임금은 낮아지는 효과가 나타났고 전체 학과 수 대비 현장실습 참여 학과 비율이 높으면 총임금이 높아지는 효과가 나타났다. 기술 사업화부문은 전임교수 1인당 전체 지식재산권등록 건수가 많으면 총임금이 높아지는 효과가 나타났고, 창업 부문은 학생 창업 전용공간이 있으면 총임금은 높아지는 효과를 보였다. 마지막으로 인프라 부문은 산학협력단 전체 직원 중 국가자격증 소유자가 많으면 총임금이 높아지는 것으로 분석되었다. 4개 부문에서 유의미한 변수를 추출 분석한 결과는 교원의 지식재산권 등록이 많은 대학의 졸업생과 학생 창업 전용공간이 있는 대학의 졸업생, 그리고 산학협력단 직원 중 국가 자격증이 많은 대학을 졸업한 학생은 총임금이 높은 것으로 나타났다. 자료의 제한점이 있지만, 산학협력 교육이 졸업생 임금에 실질적 영향이 크다고 할 수는 없으나, 산학협력 프로그램에 대한 지속적인 정부의 적극 지원과 질적 육성이 선행되어야 할 것으로 판단된다.

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한우 농가의 농작업 안전보건 실태 및 안전관리 수준 조사 (A Survey on the Current Status of Safety and Health and of Safety Management Levels among Korean Native Cattle Farms)

  • 김인수;이경숙;김효철;채혜선;김경수;최동필
    • 한국환경보건학회지
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    • 제43권1호
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    • pp.42-54
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    • 2017
  • Objectives: The present study was conducted to investigate farm work environments among farmers and examine the level of management of safety and health, and to subsequently produce study result to serve as foundational data for the development of guidelines on safety and health as part of the improvement of farming work environments among farmers raising Korean native cattle. Methods: The present study conducted a survey on farm work environments and the management of safety and health with 407 farmers engaged in Korean native cattle farming in selected regions in eight provinces. It also visited 10 farmers to verify the current status of farm work. Results: The survey results showed that 16.4% of the respondents experienced safety-related accidents due to farm work. The locations of the accidents were inside the cattle shed (71.4%) and facilities outside the cattle shed (19.6%). The types of accident showed collision with animals (35.7%), collision or contact with obstacles (27.1%), and musculoskeletal accidents due to heavy object handling (12.9%). The causes of the accidents were cattle (38.3%), cultivators and tractors (25.4%), facility tools in cattle sheds (9.0%), and slippery floors (6.0%). The damaged areas were hand (21.0%), spine (19.8%), lower limb (18.5%), and foot (17.3%). A self-diagnostic survey on respiratory diseases showed that 11.5% of the respondents experienced respiratory-related symptoms. The survey on safety and health during farm work showed that wearing personal protective equipment and response to emergency situations, which were needed to prevent safety-related accidents, were relatively low compared to the level of recognition of the need and awareness of safety issues. Furthermore, the field survey identified the current status of safety and health issues such as prevention management of collision accidents with cattle, how to handle heavy objects, and wearing of personal protective equipment. Conclusions: The present study identified safety-related accidents and problems in the management of safety and health among Korean native cattle farmers. In order to address the problem, it is necessary to not only provide guidelines on safety and health management which are appropriate to the characteristics of Korean native cattle farming work, but also to study the development of personal protective equipment.

생활 주변 자료 활용 수업이 학업성취도에 미치는 효과 (The Effects of the Instructional Use of Materials Around Everyday Life on Science Academic Achievement: Focused on the Third and Sixth - Grade Level)

  • 김정길;남철우;김석중;송판섭;한광래;최도성;문두석
    • 한국초등과학교육학회지:초등과학교육
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    • 제20권1호
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    • pp.45-57
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    • 2001
  • The purpose of this study is to guide and apply gettable and accessible materials around everyday life into classroom instruction, and to find out their effects on student academic achievement. In order to achieve it, this study was tried to develop and guide available materials around life in teaming activities, to provide a preliminary assignment that could apply the available materials, and to compare its academic achievement to one from field trip loaming. For the hypothesis testing, first, the experimental and comparing classes were selected based on the results of basic learning diagnostic evaluation, which conducted by the researcher being served as a full-time science teacher of the third and sixth grade of K elementary school in Kwangju for 2 years. Secondly, the instructional use of the available materials around life was applied to the experimental class. Also, the instructional use of the existing materials was applied to the comparing class. Finally, for the testing of the effects on academic achievement, the posterio test was implemented after conducting the experimental instruction in knowledge·understanding, inquiry process, and attitude domains classified by the unit characteristics. Using SPSS/WIN program the t-test was performed in order to compare the differences between the two groups. Major findings were as follows: 1) In the achievement test of knowledge·understanding domain, there were no significant differences at the 5% level between the experimental and comparing classes. It could be difficult to say, therefore, that the instructional use of the available materials around life was more effective than the instructional use of the existing materials. However, it had some effects on differences between the third grade final achievement test and sixth grade experimental class. 2) In the achievement test of inquiry process domain, there were some significant differences in that the sixth grade experimental class was higher than the third grade out-of classroom experience unit. It was indicated that the instructional use of the available materials around life had some effects on improving the students' inquiry ability 3) In achievement test of attitude domain, there were some significant differences. It was shown that the self-evaluation test of the sixth grade experimental class unit was higher than that of the third grade out-of classroom experience unit; Especially, the learning activities in the experimental class were more active, and the experimental practice ability was improved. It was presented that the instructional use of the available materials around life had some effects on the students' academic achievement in attitude domain. It was concluded from this study that the instructional use of the available materials around life was less effective on Knowledge understanding domain, but was effective on improving their scientific inquiry ability and interest on science education.

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