• Title/Summary/Keyword: Session Analysis

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Analysis of Students' Clinical Judgment Process During Nursing Simulation (간호시뮬레이션에서 나타나는 임상판단과정 분석)

  • Shim, Kaka;Shin, Hyunsook;Rim, Dahae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.9
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    • pp.130-138
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    • 2018
  • This study was a descriptive study, analyzing the clinical judgment process that occurs in a simulation of practice education for nursing students applying to LCJR. Subjects were two nursing college students in S city. Fever scenario and apnea scenario, including mock patient, were implemented. Data collection was conducted between September, 2013 and December, 2014. Data analysis was performed using descriptive statistics, paired t-test, and Pearson's correlation of PASW statistics 18.0 program. The result of this study revealed that the clinical judgment scores of nursing college students were 30.50 for males and 29.32 for females. Nursing Clinical judgment score for the apnea scenario was higher than the score for the febrile scenario, and nursing students' self-evaluation and professors' evaluation showed a significant correlation with respect to the responding domain. In comparison the student and faculty ratings, domain of interpreting and domain of reflecting were significant This study will provide educators with foundational knowledge of program development to enhance nursing students' clinical judgment abilities. We suggest more discussion on their nursing practice and judgment during debriefing session may be beneficial for students.

Aerodynamic Features and Voice Therapy Interventions of Functional Voice Disorder after Thyroidectomy (갑상선 절제 술 후 기능적 음성장애의 공기역학적 특징과 음성치료 중재)

  • Lee, Chang-Yoon;An, Soo-Youn;Chang, Hyun;Jeong, Hee Seok;Son, Hee Young
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.26 no.1
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    • pp.25-33
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    • 2015
  • Background and Objectives:The objective of this study was to investigate the features of post-thyroidectomy subjective voice disorder by Voice Handicap Index (VHI) and Voice Symptom Scale (VOISS) through aerodynamic analysis and to investigate the appropriate voice therapy intervention. Materials and Methods:Twenty post-thyroidectomy patients who had no recurrent laryngeal nerve paralysis through laryngeal stroboscopy were enrolled for this study. Acoustic and aerodynamic evaluations were performed before operation, 2 weeks and 3 months after operation. Subjective voice evaluation was performed by VHI and VOISS. Aerodynamic evaluation was compared and analysed by maximum phonation time(MPT), phonation threshold pressure(PTP), mean air flow rate(MFR), etc. Subjective voice evaluation was surveyed through VHI and VOISS. To evaluate patients' symptoms related to functional voice disorder, scores on physical domain in VHI and VOISS were selected to be compared for each session. Results: The 10 out of 20 participants who complained of voice symptoms had no significant difference with pre-operation in acoustic evaluation, but all showed higher scores on 2 weeks and 3 months after operation compared to pre-operation, in VHI-physical domain and selected questionnaires in VOISS. They reduced MPT and increased PTP value simultaneously. Laryngeal massage and breathing training were simultaneously treated to them, 5 participants resulting in improvement in MPT and PTP compared to pre-treatment. Conclusion:Patients who complained voice change with no organic damage after thyroidectomy were all shown to have reduced MPT and increased PTP in some by aerodynamic evaluations. Reduced MPT may imply some problem in air flow beneath glottis. Increased PTP suggests much more effort in vocalization mechanism than pre-operation. Comparing aerodynamic evaluations in post-thyroidectomy may provide information on behavioral interventions. Additionally, study on laryngeal massage and breathing training simultaneously treated to patients with such voice disorder is needed to be conducted with larger number of participants.

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Influence of Electronic-cigarette Smoke on Cardiac Autonomic Nerve Responses in Comparison with Conventional-cigarette Smoke (전자담배흡연이 심장자율신경조절에 미치는 반응: 궐련담배와의 비교 검증)

  • Kim, Choun Sub;Kim, Maeng Kyu
    • Journal of Life Science
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    • v.28 no.5
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    • pp.587-596
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    • 2018
  • This study aims to observe changes in heart-rate variability (HRV) indices induced by e-cigarette and conventional-cigarette smoking and to compare the differences in acute cardiac autonomic regulation. All participants (n=41) were exposed to both e-cigarette smoke (ES) and conventional cigarette smoke (CS) in a randomized crossover trial. HRV analysis was performed during each smoking session based on a recorded r-r interval 10 minutes before smoking and at specified recovery periods (REC1, 0-5 min; REC2, 5-10 min; REC3, 10-15 min; REC4, 15-20 min; REC5, 20-25 min; and REC6, 25-30 min). ES led to a significantly increased cardiac sympathetic index (LF/HF ratio) compared with the baseline, and it shifted the sympathovagal balance toward sympathetic predominance, including reduction in the complexity of the interbeat interval (SampEn). In REC1 after ES, only decreases of parasympathetic indices such as rMSSD, pNN50, HF, and SD1 were indicated. CS sessions produced not only an increased LF/HF ratio during smoking and recovery periods (REC1 and REC4) but also enhanced sympathetic predominance on autonomic balance during smoking and recovery periods (REC1, REC2, and REC4). In the CS trials, parasympathetic indices of time and non-linear analysis (rMSSD, pNN50, and SD1) were decreased during smoking and in REC1 to REC5. SampEn was also reduced during smoking and REC1 to REC4. Acute sympathoexcitatory effects induced by e-cigarette use produced statistically significant results. Parasympathetic withdrawal after smoking suggests that e-cigarettes may cause increased cardiovascular risk.

The Analysis of Korean Medicine Treatment for Idiopathic External Ophthalmoplegia (특발성 외안근마비의 한의학적 치료 경향 분석)

  • Lee, Su-Kyung;Kang, Ju-Young;Lee, Seung-Hee;Hong, Hyeon-Jin;Hwang, Doo-Ree;Choi, Hyun-Min;Lee, Chang-Won
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.30 no.3
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    • pp.119-133
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    • 2017
  • Objectives : This study is designed for analysis of trend and curative effect of Korean medicine for idiopathic external ophthalmoplegia. Methods : Research studies related to objectives were gathered through OASIS and KTKP and analyzed. Results : 21 case reports were selected. 5 korean medicine therapies, Herb, acupuncture, moxibustion, electroacupuncture, and pharmacopuncture, were executed. Restorative herb including Bojungikki-tang was frequently used in herb therapy. Facial and cephalic acupoints and non-facial, non-cephalic acupoints which individually differ were mostly simultaneously executed as acupuncture therapy. Also, moxibustion was partly performed. Electroacupuncture was carried out to affected area with electric stimulation at the strength of 1Hz and 4Hz. Hominis placental pharmacopuncture, 0.1cc or 0.5cc for each acupoint, was injected on disease area. After analyzing number of Korean medicine treatment and period of Korean medicine treatment from 21 case reports, the recovery period of idiopathic external ophthalmoplegia, 36.6 treatment session/36.69 days, was assessed to be more than one month shorter than previously known recovery period. Number of treatment sessions and treatment period for 11 cases when pharmacopuncture or electroacupunture was applied were 10/29, 35/29.96, which was 15 days shorter in terms of treatment period and 10 times less in terms of number of treatment sessions compared to cases when pharmacopuncture or electroacupunture was not applied. Conclusions : Korean medicine treatment can be effective for recovery of idiopathic external ophthalmoplegia.

The Effect of Speed-dependent with Body Weight Supported Treadmill Training on the Ambulation of Stroke (속도-의존적 체중지지 트레드밀 보행이 뇌졸중 환자의 보행에 미치는 영향)

  • Kim, Jwa-Jun;Rho, Min-He;Goo, Bong-Oh;Ahn, So-Youn
    • The Journal of Korean Physical Therapy
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    • v.17 no.3
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    • pp.339-350
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    • 2005
  • This study is the quasi-experimental study on the gait training rehabilitation. The purpose of this study is to prepare the baseline data for most suitable of gait while we were scrutinizing how the walking characters, functional walking ability, gait quality of stroke patients were affected by the gait on BWSTT (Body Weight Supported Treadmill Training) through the change of treadmill velocity and body weight support. To accomplish this purpose, this study used thirty subjects, more than 3 months post stroke, for rehabilitation who were divided between two gait training groups they received the neurophysiological physical therapy. For 6 weeks, 5 times a week for 15 minutes per session, the BWSTT group participated in 30 sessions structured speed-dependent treadmill training with 30% body weight supported, and the ratio of body weight support was gradually decreased as the patients advanced the capability of more self-support. The OGT(Over Ground Training) group received the same quantity of equal sessions like BWSTT. Firstly, we measured the absolute improvement of walking velocity (m/s), capacity(min/m) and cadence(steps/min) among walking characters. Secondly, we measured the functional walking ability such as Functional Ambulatory Category(FAC, score out of 5), Modified Motor Assesment Scale(MMAS, score out of 6) and Gait Quality Chart(score out of 41). Data analysis was performed with using SPSS 10.0 win program. The descriptive analysis was used to obtain average and standard deviation. The independent t-test and the paired t-test were used to compare both the groups about pre and post training test. Treatment effects were established by pre and post assessment. Subjects tolerated the training well without side-effects. Therefore, the results of this study were as follows; 1. There was a more significant difference from the improvement of walking velocity(0.09m/s), endurance(4.53min/m), cadence(4.20steps/min), FAC(0.26score), MMAS(0.33 score) and hip joint and pelvic of gait quality(0.39 score) ever before in the BWSTT group(p<.05). 2. There was a more significant increase from the walking velocity(0.01m/s) in the OGT group(p<.05). 3. There was a more statistical significant increase from comparing the average of walking velocity in both groups ever before(0.42m/s in BWSTT group and 0.31m/s in OGT group)(p<.05). There was a statistical significant difference from the average of cadence in both groups(61.87step/min in BWSTT group and 3.60steps/min in OGT group)(p<.05). As we can see from above, the findings suggest that BWSTT may be more effective than the OGT for improving some gait parameters such as gait velocity and cadency. This conclusion also suggest that BWSTT is more effective for the improvement of gait of stroke patients.

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The Effect of Horticultural Activities Program on Emotional Intelligence and Stress Coping in Nursing College Student (원예활동프로그램이 간호대학생의 정서지능과 스트레스 대처에 미치는 효과)

  • Yang, Kyung-Mi;Park, Hyun-Jung
    • Journal of the Korea Convergence Society
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    • v.9 no.2
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    • pp.267-276
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    • 2018
  • The purpose of this study was to verify the effectiveness of horticultural activities program for 4th grade nursing students' emotional intelligence and stress coping. The study method was a non-equivalent control group pretest-posttest design. Participants were recruited with 4th grade nursing students from two nursing colleges. They were assigned to the experimental group (n=29) or the control group (n=30) using a computerized blocked randomization. Horticultural activities program was consisted of 10 sessions which were 2 times a week for 80 mins at each session during 5 weeks. Pretest and posttest were used to measure emotional intelligence and stress coping using the same structured questionnaires. Data was analyzed using frequency analysis, descriptive statistics, ${\chi}^2-test$, t-test, Fisher's exact test, Kolmogorov-Smirnov, independent t-test and paired t-test. The result showed a significant difference that the experimental group's emotional intelligence(t=-3.33, p=.002) and stress coping(t=-2.35, p=.023) score was higher than the control group's. The results of this study suggests that the horticultural activities program is effective in terms of emotional intelligence and stress coping for $4^{th}$ grade nursing students.

A Study on the Role of the Local Newspaper for Community Development (지역사회발전을 위한 지역신문의 역할)

  • Nam, Bu-Hyun;Kim, Sung-Soo
    • Journal of Agricultural Extension & Community Development
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    • v.3 no.1
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    • pp.141-155
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    • 1996
  • The purpose of this study was to investigate the sole of local newspaper for community development in Korea. Specific objectives of the study were : 1) to identify the role of local newspaper in community development, 2) to analyze problems and situations on local newspapers in Korea, and 3) to suggest desirable roles of local newspaper for the community development. To attain the above objectives, this study was carried out through literature review, contest analysis of selected local newspapers, and the questionnaire survey of selected readers of local newspaper. The data were collected from 267 readers of local newspaper who participated in the farmers` training session in the Rural Development Administration, by using questionnaires developed by the researcher, and total of 263 questionnaires were analyzed. The statistical techniques used for the study were frequence, percentile, standard deviation utilizing the $SPSS/PC^+$. The major findings of the study were as follows : 1. The major roles of functions of local newspapers identified in this study were summarized as to reinforce the community consciousness, to form community opinion, to watch and to monitor community environment, to provide education and entertainment, and to contribute to the conveyance and promotion of community culture. 2. The general characteristic of local newspaper readers surveyed were; a) average distance from town to their village was 9.3 Km, b) average age was 29 years, c) about 75% of them were senior high school graduates, and d) about 96% of them participated in group activities. 3. About 45% of the respondents used television or radio for their moor sources of local news were TV or radio, while about 31% respondents used immunity newspaper for their moor sources of local news. About 67% of the respondents kept their readership over two years, and about 40% of them read community newspaper regularly at their home. 4. The results of content analysis showed drat the local newspapers were dealing with articles on cultural affairs, community consciousness, administrative and civic affairs, however, there were not enough educational news, and various kinds of general news in the community. 5. Survey also showed the most needed news were ; 1) political news including administrative and civic affairs, 2) economic news including sales and distribution, 3) social news including social problems on environmental pollution and community development works, 4) educational news including technology and information, 5) cultural news including guide to cultural and historical sites and local brief news. 6. In the evaluation of local newspaper, the readers were generally positive in valued roles of local newspaper in community relations, community development, promoting community cohesion and understanding of community members, and about 40% of the respondents were positive in predicting the bright future perspectives of local newspapers. 7. In the readers` evaluation of local newspaper, readers responded that local newspapers were very closely related to the community and residents, reflecting the current concerns of local population and recognizing the value of community media, and the contents of local newspaper were positively related to daily lives of community residents and opinions of overall community.

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Spectral Analysis of Heart Rate Variability during Treadmill Exercise at Various Speeds and Grades

  • Kim, Hyeong-Jin;Kim, Ki-Hong;Ahn, Dong-Kuk;Park, Jae-Sik
    • The Korean Journal of Physiology
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    • v.30 no.1
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    • pp.43-51
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    • 1996
  • This study was aimed to elucidate the changes in heart rate variability during treadmill exercise at various speeds and grades by spectral analysis. Thirty-three untrained male college students aged $20{\sim}26\;yr $were employed to exercise on a treadmill using 4 speeds (4.02, 5.47, 6.76 and 8.05 km/h) and 6 grades (0, 4, 8, 12, 16 and 20%). A fixed speed was selected for each session with the grade increased every 3 min. The electrocardiogram, respiration and the stepping activity were continuously recorded through an A/D converter system on the computer disk. Power spectra of heart rate variability (RRV) were obtained by use of a fast Fourier transform algorithm. The frequency domain was divided into 3 bands: $VLF\;(0{\sim}0.04\;Hz),\;LF\;(0.04 {\sim}0.15\;Hz)\;and\;HF\;(0.15{\sim}1.00\;Hz).$ Heart rate was $74.4{\pm}2.1\;beats/min$ at rest and showed a steady increase during treadmill exercise with increasing speed and grade up to $196.7{\pm}5.0\;beats/min.$ Total power of HRV was $35.0{\pm}6.7\;(beats/min)^{2}$ at rest and progressively decreased during exercise down to $1.9{\pm}0.3\;(beats/min)^{2}.$ The %VLF power of HRV was $34.5{\pm}3.7\; %$ at rest and showed no significant change during exercise except for a decrease observed at the highest intensity of exercise. The %LF power was $44.1{\pm}3.0\;%$ at rest and showed a progressive decrease down to $4.5{\pm}1.0\;%$ during those stages of exercise where heart rate was over 135 beats/min. The %HF power was $21.4{\pm}2.9\;%$ at rest and showed a progressive increase up to $87.1{\pm}6.7\;%$ during higher intensity exercise where heart rate was over 165 beats/min. Peak frequency of HF band was $0.200{\pm}0.018\;Hz$ at rest and was shifted to higher frequencies up to $0.909{\pm}0.048\;Hz$ at heart rates greater than 135 beats/min. Respiratory frequency was $18.0{\pm}1.5$ breaths/min at rest and significantly increased during exercise up to $53.0{\pm}3.7$ breaths/min. Stride frequency during treadmill exercise showed an increasing tendency with increasing speed from $55.6{\pm}0.9$ steps/min at 4.02 km/h to $81.2{\pm}0.6$ at 8.05 km/h. It was concluded that total power of HRV decreased progressively with increasing exercise intensity due to the withdrawal of parasympathetic activity. At higher exercise intensity, % LF power decreased and %HF power increased with its peak frequency shifted to higher values in a progressive mode with increasing speed and grade, reflecting a readjustment in the cardiovascular system and the increased respiration and its rate, respectively.

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Effects of Class-based Group Art Therapy Program on Child's Emotional Regulation and School Adjustment Improvement (학급단위 집단미술치료프로그램이 아동의 정서조절과 학교생활적응력 향상에 미치는 효과)

  • Kim, Mi-Hee;Hong, Mi-Hee
    • The Journal of the Korea Contents Association
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    • v.17 no.5
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    • pp.613-623
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    • 2017
  • This study is aimed at verifying the effect of class-based group art therapy program on child's emotional regulation and school adjustment improvement. The target of this study consisted of the lowest-leveled 3rd graders among the students attending A Elementary School, located in 00, Daejeon City, who were tested for school adjustment. The class-based group art therapy program was implemented from October 15, 2014 to November 19, 2014, once a week, for 40 minutes for each session, a total of six rounds. For this study, the scale of emotional regulation and school adjustment was used by pre-post comparison. As an analysis method for verifying the effects of this study, ANCOVA was used in consideration of pre-test, in comparison of post-test results between groups, regarding the scale factors of emotional regulation and school adjustment. As a result of analysis, first, child's emotional regulation was significantly improved after the program performance. Second, child's school adjustment. was significantly improved after the program performance. In conclusion, class-based group art therapy program let children see through the process of emotional change, and properly regulate their emotions. At the same time, the program provided situations in which peers meet together casually, giving a positive change for school adjustment improvement based on the peer relationship. In addition, this study has a meaning to help enjoying school life, by constructing a proper program to be applied at school in a variety of ways.

Analysis of Foreign Education Policy in Japan in the Light of the Educational Experience of Korean Residents in Japan (일본 외국인교육정책의 특징 분석 : 조선학교 졸업생의 구술을 중심으로)

  • Kim, Myung-Hee
    • Korean Journal of Comparative Education
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    • v.27 no.3
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    • pp.23-48
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    • 2017
  • The purpose of this study is to analyze the meaning of Joseon school or Korean school (hereafter, Korean school) education in the context of Japanese foreign education through oral history of Korean residents in Japan. I focused on how educational experience of Korean residents who were born and raised in Japan formed through the Korean school education was implemented and applied in Japanese society. Participants were 7 Korean residents in Japan who were educated at Korean school. They all grew up in Kansai region including Osaka Prefecture and Hyogo Prefecture. The oral data was collected three times from September 17, 2014 to February 29, 2016. The oral interviews were conducted two times, two hours per session. As to the analysis of oral data, we first prepared the classification table according to the detailed themes and then cross-checked between the history of Korean residents in Japan as well as related literatures and the memories of the oral interviewees. The results of this study are as follows. The oral interviewees recognized that there was no relation between the development process of foreign education policy in Japan and Korean school education. They said that the education of foreigners in Japan was "consistent with the exclusion of Korean schools." However, unlike the Japanese central government, local governments implemented the policies such as providing subsidies to Korean schools, accepting the graduates of Korean schools in public and private universities, and providing fare discounts for students of Korean schools in local private railways.