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Senior Center Based Diabetes Self-management Program: An Action Research Approach (노인복지관 당뇨병 자기관리 프로그램의 과정과 평가: 실행연구방법)

  • Ko, Hana;Song, Misoon
    • 한국노년학
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    • v.38 no.1
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    • pp.169-185
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    • 2018
  • The purpose of this study examined the feasibility and efficacy of a senior center-based diabetes self-management program applying action research approach. The cyclical action research method was applied for this study: plan, act, evaluate, and reflect in delivering three waves of the intervention program. Three waves of a 12 weeks-length small group diabetes self-management program were offered during the period of 15 months in a senior center in Seoul. Planning of $2^{nd}$ and $3^{rd}$ wave program were based on reflection of $1^{st}$ and $2^{nd}$ program evaluation respectively. Among the 46 participants, 93.48% (N=43) completed the program. The quantitative evaluation showed statistically significant improvement in HbA1C(p<.001), fasting plasma glucose(p<.001), BMI(p=.016), waist circumference(p=.001), systolic blood pressure(p=.036), diabetes self-management behavior(p<.001) and health knowledge(p=.008). Qualitative data revealed that individual management was very helpful in empowering and adhering for own diabetes care for the participants. Participants reported high satisfaction towards the program with mean satisfaction score of 65.12. Application of the Diabetes Self-management program with action study strategy was successful in community setting for improving participants' subjective and objective outcomes. Action research method guides the practitioner to tailor the program to respond for the participants and field needs.

Relationship Analysis of Reference Evapotranspiration and Heating Load for Water-Energy-Food Nexus in Greenhouse (물-에너지-식량 넥서스 분석을 위한 시설재배지의 기준작물증발산량과 난방 에너지 부하 관계 분석)

  • Kim, Kwihoon;Yoon, Pureun;Lee, Yoonhee;Lee, Sang-Hyun;Hur, Seung-Oh;Choi, Jin-Yong
    • Journal of The Korean Society of Agricultural Engineers
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    • v.61 no.4
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    • pp.23-32
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    • 2019
  • Increasing crop production with the same amount of resources is essential for enhancing the economy in agriculture. The first prerequisite is to understand relationships between the resources. The concept of WEF (Water-Energy-Food) nexus analysis was first introduced in 2011, which helps to interpret inter-linkages among the resources and stakeholders. The objective of this study was to analyze energy-water nexus in greenhouse cultivation by estimating reference evapotranspiration and heating load. For the estimation, this study used the physical model to simulate the inside temperature of the agricultural greenhouse using heating, solar radiation, ventilated and transferred heat losses as input variables. For estimating reference evapotranspiration and heating load, Penman-Monteith equation and seasonal heating load equation with HDH (Heating Degree-Hour) was applied. For calibration and validation of simulated inside temperature, used were hourly data observed from 2011 to 2012 in multi-span greenhouse. Results of the simulation were evaluated using $R^2$, MAE and RMSE, which showed 0.75, 2.22, 3.08 for calibration and 0.71, 2.39, 3.35 for validation respectively. When minimum setting temperature was $12^{\circ}C$ from 2013 to 2017, mean values of evapotranspiration and heating load were 687 mm/year and 2,147 GJ/year. For $18^{\circ}C$, Mean values of evapotranspiration and heating load were 707 mm/year and 5,616 GJ/year. From the estimation, the relationship between water and heat energy was estimated as 1.0~2.6 GJ/ton. Though additional calibrations with different types of greenhouses are necessary, the results of this study imply that they are applicable when evaluating resource relationship in the greenhouse cultivation complex.

The Effects of Group Cooking Program on Executive Function of the Non-disabled Children in Community Children's Center (집단 요리활동 프로그램이 지역아동센터 비장애 아동의 실행기능에 미치는 영향)

  • Lee, Cho-Hee;Gwon, Sun-Jeong;Lee, Seung-Min;Je, Young-Hyeon;Jo, Ye-Na;Kim, Eun-Young
    • The Journal of Korean society of community based occupational therapy
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    • v.8 no.3
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    • pp.59-67
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    • 2018
  • Objective : This study was conducted to investigate the effects of occupation-based group cooking program on executive function for children in community children's center. Methods : The children who participated in the study were 7 to 9 years old. This study was based on a one-group pre-posttest design, which the group cooking program included making of sandwiches, frog-shaped hamburgers, patbingsu, sausage gimbap, and flowerpot cupcake. This study consisted of five activity sessions, which each session lasted for 120 minutes. Effectiveness of the program was measured by using the STROOP Color and Word Test, Children's Color Trails Test and Assessment of Motor and Process Skills. Results : The differences between pre and posttest scores on STROOP Color and Word Test and the process skill score of Assessment of Motor and Process Skills were statistically significant. There was no difference significantly between pre and posttest scores in Children's Color Trails Test-2. Conclusion : This study demonstrated that the group cooking program intervention has effects on cognitive inhibition executive function and performance executive function of children in the community children's center. This study suggests that occupation-based intervention can be applied to various clients in the community setting.

Development of Evaluation Indicators for Job Capability Strengthening Program for Vocational High School with application of CIPP Evaluation Model (CIPP 평가모형을 적용한 특성화고 취업역량강화 프로그램 평가지표 개발)

  • Shin, Yeon-Ju;Kim, Sun-Tae;Song, Hae-Deok
    • Journal of vocational education research
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    • v.37 no.3
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    • pp.1-23
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    • 2018
  • The purpose of this study was to develop evaluation indicators which can help decision making in the quality control and improvement of the job capability strengthening program for the vocational high school depending on the situation, input, process and output of CIPP evaluation model. For this purpose, through the literature review and the research of expert opinions, the evaluation indicators for the job capability strengthening program in the vocational high school was designed. In addition, the Delphi research was conducted to 15 teachers in charge of job searching in specialized high schools and education related experts to validate it. The CVR value which indicates the value of validity was analyzed through the findings of the collected Delphi questionnaires and the degree of opinion consistency was analyzed through the degrees of agreement and convergence. Through the correction and complementation, the final evaluation criteria and evaluation indicators was decided. The evaluation criteria developed from the findings include 7 references such as requirement analysis, objective setting, implementation plan, implementation contents, program activities, program control & evaluation and program performance. Each Criteria has 41 evaluation indicators. It is expected that the finally decided evaluation indicators would be used by the people concerned with the job capability strengthening program at the vocational high schools and contribute to the quality improvement of the job capability strengthening program at the vocational high schools as well as its future directions.

Current Trend in Use of Occupational Therapy Assessment Tool by Pediatric Occupational Therapist (국내 아동 작업치료사의 평가도구 사용 동향)

  • Lee, Sun-Hee;Hong, Cho-Rong;Park, Hae Yean
    • The Journal of Korean Academy of Sensory Integration
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    • v.16 no.3
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    • pp.23-33
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    • 2018
  • Objective : The purpose of this study is to investigate trend in use of occupational therapy assessment tools used by pediatric occupational therapist. Methods : Survey questionnaire developed for this study were used to for data collection. The questionnaires are divided into 10 area: occupational performance, activities of daily living, education, play, sensory-perceptual, motor and praxis, cognition, social interaction skills, development, and physical examination. Total 105 responses were analyzed using descriptive statistics analysis and frequency analysis. Results : For the general process of evaluation in pediatric occupational therapy, major response on the initial evaluation time was 30~60minutes (41.9%), and major response on the re-evaluation period was 3~6months (41.0%). The major assessment tool for each area Canadian Occupation Performance Measure (55.2%) for occupational performance assessments, Wee Functional Independence Measure (57.1%) for activities of daily living assessments, School Function Assessment (2.5%) for education assessments, Knox Preschool Play Scale (28.6%) for play assessments, Developmental Test of Visual Perception (94.3%) for sensory-perceptual assessments, Bruininks-Oseretsky Test of Motor Proficiency (42.9%) for motor and praxis assessments, Evaluation of Social Interaction (6.1%) for social interaction skills assessments, Denver Developmental Screening Test (92.4%) for development assessments, Clinical Observation (89.5%) for physical examination assessments. Conclusion : The study identified the most assessment tools used for specific area by pediatric occupational therapists. The results can be used as a basic data to educate about pediatric occupational therapy evaluation, as well as to develop new assessment tools in pediatric setting in future.

The Problems and its Improvement of Sea Area Utilization Consultation and Impact Assessment for Projects Related to Marine Environment Restoration (해양환경복원관련 사업에 따른 해역이용협의·영향평가의 문제점 및 개선방안)

  • Yi, Yong Min;Jun, Eun Ju;Lee, Dae In;Kim, Gui Young
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.25 no.1
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    • pp.34-44
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    • 2019
  • Marine activities are becoming more diverse and extensive due to recent social developments, exceeding the environmental capacity of the marine ecosystem. The resilience, resistance, and constancy of marine ecosystems are being damaged or degraded. This prevents the ecosystem from functioning properly, leading to a decline in ecosystem services and value. As a means of returning the damaged ecosystem to health, more and more people are interested in restoration. At a time when restoration projects are gradually expanding, various problems that may arise when implementing the Sea Area Utilization Consultation and Impact Assessment for restoration projects need to be checked, in addition to confirming the direction to be pursued. Therefore, in this study terms related to restoration from research papers and reports were summarized, and the status of the Sea Area Utilization Consultation related to restoration projects and the status of the restoration project were reviewed. In addition, problems with Sea Area Utilization Consultations were considered through a case study to ensure the successful execution of restoration projects. Based on this, we intend to present improvement measures for Sea Area Utilization Consultations and Impact Assessments for restoration projects. This will provide effective information for future policies and plans.

The Biomechanical Study on the Timings of Tkatchev Motion in Horizontal Bar (중고등학교 우수 선수의 철봉 Tkatchev 기술의 순간 동작 시점에 관한 운동역학적 연구)

  • Lim, Kyu-Chan
    • Korean Journal of Applied Biomechanics
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    • v.29 no.2
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    • pp.121-128
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    • 2019
  • Objective: The aim of this study was to examine the relation between swing phase and airborne phase of Tkatchev motion which was successfully performed with following motion by excellent middle and high school athletes in horizontal bar. Method: The subjects for this study were 8 male middle and high school top athletes. After their Tkatchev motions were filmed by two digital highspeed camcorders setting in 90 frames/sec at the 44th National Gymnastics against Cities and Provinces, the % lapse time lapse time of each instant, inferred maximum force acting on horizontal bar, and other kinematical variables were calculated through DLT method. After the relations among the % lapse times of each instants of downswing-start, downswing-finish, whipswing-finish, release, peak-height, and lapse time of regrasp, the relation among maximum force acting on bar, % lapse time, peak height, and the relation between % lapse time and release height were examined, the biomechanical timing characteristics of Tkatchev motion were as follows. Results: Firstly, it was revealed that the whole lapse time was $1.62{\pm}.06s$ and the correlation between the % lapse time of downswing-start and % lapse time of release was .819. Secondly, it was revealed that the pattern of COG path was shifted forwardly and tilted 11 clockwise from origin. Thirdly, it was revealed that maximum force acting on bar was inferred in $2,283{\pm}425N$ ($4.7{\pm}.6BW$) and the correlation between maximum force and peak height was r = .893. Lastly, it was revealed that the horizontal and vertical component of body COG velocity was $-2.14{\pm}.29m/s$, $2.70{\pm}.43m/s$ respectively, release height was $.49{\pm}.12m$, and shoulder angle was $139{\pm}5deg$, and that the later the % lapse time of release, the higher the release height (r = .935). Conclusion: It is desired that the gymnastic athletes should delay the downswing-start near the horizontal plane on $2^{nd}$ quadrant because the later the % lapse time of downswing, the higher the release height. After all the higher release height could ensure the athletes to regrasp the bar safely, the athletes should exercise to make downswing-start delay.

The Effect of Health Promotion Program on the Frailty of Rural Elderly Women Implemented at Primary Health Care Posts (일부 보건진료소에서 실시한 건강증진프로그램이 농촌여성노인의 노쇠에 미치는 효과)

  • Kim, Min-Kyung;Park, Ki-Soo
    • Journal of agricultural medicine and community health
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    • v.44 no.3
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    • pp.115-123
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    • 2019
  • Objective: This study was conducted to examine the effects of a health promotion program on the health condition of rural elderly women implemented at primary health care posts using Korean Frailty Index. Methods: The research was designed a nonequivalent control group pretest-posttest setting. The participants in this study were 50 residents (intervention group: 25, control group: 25) selected from 4 villages 2 primary health care posts in J city Gyeongsangnam-do. The health promotion program was conducted at the primary health care posts twice a week for 12 weeks. This program consisted of basic exercises(Gukseondo + Theraband muscle strength training) and additional activities(including modified Theraband activity, rubber ball exercise, ball massage, nutrition class, singing class). Collected data were analyzed by descriptive statistics, paired t-test, and repeated measures ANOVA with SPSS 21.0. Results: Results of the health promotion program showed that the health conditions(measured by perceived health status, frailty score, upper/lower flexibility, maximum grip strength, dynamic balance test Timed Up and Go) of the experimental group(25) all statistical significantly improved. Conclusion: Study findings indicate that the health promotion program implemented at primary health care posts on rural elderly women is effective and can contribute to a developed health promotion program for local residents in the future.

Characteristics and Effects of Lifestyle Interventions for Community Dwelling Older Adults: A Systematic Review (지역사회 노인을 대상으로 적용한 라이프스타일 중재의 형태와 효과에 관한 체계적 고찰)

  • Won, Kyung-A;Shin, Yun Chan;Park, Sangmi;Han, Areum;Park, Ji-Hyuk
    • Therapeutic Science for Rehabilitation
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    • v.8 no.2
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    • pp.7-30
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    • 2019
  • Objective : The purpose of this study was to analyze the format and effects of lifestyle intervention provided to community dwelling older adults. This systematic review was written following the PRISMA guideline. Methods : The National Digital Science Library(NDSL), RISS, PubMed, and CINAHL were used to search for articles published from January 2008 to December 2017. In total, 20 articles were selected for the analysis and the risk of bias was screened through the Physiotherapy Evidence Database Scale. Lifestyle interventions in the articles were classified according to the disease of the participants. Results : Major contents of the lifestyle interventions were increased physical activity like moderately intensive exercise and education or training to help participants have a healthy diet. Of the 20 articles, 17 included more than 2 types of contents. Examining biochemical factors was the most common measurement among the multifaceted measurements used to assess the effects of lifestyle interventions. The results of the lifestyle interventions described in each article did not indicate congruent effects. 14 of the 20 articles reported the lifestyle interventions had significant effects. Conclusions : The results of this study could help practitioners select the contents of and provide lifestyle interventions to older adults. Further study on the various applications of lifestyle interventions in a community setting is necessary.

Development And Applying Detailed Competencies For Elementary School Students' Data Collection, Analysis, and Representation (초등학생의 데이터 수집, 분석, 표현 수업을 위한 세부역량 개발 및 적용)

  • Suh, Woong;Ahn, Seongjin
    • Journal of The Korean Association of Information Education
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    • v.23 no.2
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    • pp.131-139
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    • 2019
  • From 2019, software education has become a required subject for all elementary school students. However, many teachers are still unfamiliar with how the classes should be instructed. So this paper presented the meaning, detailed competencies and achievement standard in order to help in the collection, analysis and representation of data among the computational thinking that are key to software education. And it also suggested the applicability of the classes. The full course of the paper is summarized as follows. First, existing studies have summarized the meaning, detail and achievement standard of data related competencies. Based on this, a preliminary investigation was instructed. Pilot study carried out both FGI and closed questions at the same time. This was done in response to the survey's questionnaire reflecting the opinions of experts. Second, the results of the questionnaire generated as a result of the above were verified for validity, stability, and reliability among the PhD, PhD courses, software education teachers, and software education workers. Third, I developed and applied the five lessons as a class objective as 'Choosing collection method-Select the collection method according to the problem situation.', 'Searching for meaning of data-Understand what the analyzed data mean..', 'Using various expression methods-Use a variety of expression tools.' using the backward design model to integrate education, class, and assessment. As a result, the detailed competencies of data collection, analysis, and representation and achievement standard were presented. This may help in setting specific and specific criteria for what direction classes are recommended when planning data-related classes in elementary schools.