• 제목/요약/키워드: Structured Methods

검색결과 2,224건 처리시간 0.033초

임상 물리치료사의 경험에 따른 시각적 보행 분석의 신뢰도 연구 (Reliability of Visual Gait Analysis according to Clinical Experience Level of Physical Therapists)

  • 이인희
    • The Journal of Korean Physical Therapy
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    • 제25권4호
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    • pp.174-179
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    • 2013
  • Purpose: Visual gait analysis plays a pivotal role in determining the important gait problem of patients. A few studies have been published and have received little attention regarding visual gait analysis on patients with orthopedic problems. The purposes of this study were to investigate the difference of reliability levels according to experience of clinical physical therapists. Methods: Thirty-five clinical physical therapists, 5 high experienced, 15 experienced, and 15 inexperienced, were recruited and individually evaluated these videotaped gait patterns of the participants, and filled up the structured gait analysis form. The gait of nine participants was videotaped. Reliability levels were calculated by the Intraclass Correlation Coefficients (ICC). Results: The inter-rater reliability of high experienced group (ICC=0.56; 95% CI: 0.50-0.62) was comparable to that of the experienced raters (ICC=0.48; 95% CI: 0.43-0.53) and inexperienced group (ICC=0.42; 95% CI: 0.38-0.46). High experienced group reached a higher inter-rater reliability level. The average intra-rater reliability of the high experienced group was 0.70 (ICCs ranging from 0.54 to 0.82). The experienced group reached an average intra-rater reliability of 0.61 (ICCs ranging from 0.47 to 0.81). The inexperienced group attained average ICC values of 0.53 (ICCs ranging from 0.30 to 0.74). Conclusion: Use of a structured gait analysis form as described in this study was found to be moderately reliable. Clinical experience appears to increase the reliability of visual gait analysis.

한의학 객관구조화진료시험(OSCE)을 위한 진맥 시뮬레이터 개념 연구 (Study on Pulse Simulator of Oriental Medicine for Objective Structured Clinical Examination (OSCE))

  • 김경신;김경호;최찬헌;이수진;김병수
    • 대한한의학회지
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    • 제32권1호
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    • pp.1-11
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    • 2011
  • Objectives: The aim of this study was to examine the controversial issues about objective structured clinical examination (OSCE) of pulse diagnosis and investigate the objectification of traditional Korean medicine and technical feasibility of pulse simulation through the suggestion of a pulse simulator. Methods: The concept, validity and reliability of OSCE and the current situation of medical simulation was described. The actual level and problems on the simulator development was presented through haptics and tactile technology in order to compose a pulse simulator for OSCE. Results: The pulse wave system of a pulse simulator should materialize through haptic technology and the classification of the differences between tactile sensation and tactile quality is essential for the development of the relevant pulse simulator for OSCE in traditional Korean medicine. Conclusions: The introduction and controversial issues of OSCE and methodology of pulse wave reappearance system are proposed for the objectification of Traditional Korean Medicine and the development of clinical technology.

구조적 프로그래밍을 위한 언어 학습 시스템 (Language Education System with Structured Programming)

  • 박경욱;류남훈;김응곤
    • 한국전자통신학회논문지
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    • 제5권5호
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    • pp.459-464
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    • 2010
  • 컴퓨터 프로그램은 기계, 우주, 항공, 의학을 비롯한 사회 전 분야에서 필요로 한다. 하지만 프로그래밍 교육과정은 수많은 교재와 동영상 강의에도 불구하고 어려워하고 있다. 프로그래밍 언어는 매우 다양하지만 대부분의 언어들은 동일한 구조를 사용하며, 표현 방식에 차이가 있을 뿐이다. 그래서 하나의 프로그래밍 언어를 습득하면 또 다른 언어를 배우는데 많은 시간과 노력을 기울이지 않아도 된다. 대부분의 프로그래밍 언어들은 일반적으로 순서, 선택, 반복 구조를 사용한다. 프로그래밍을 배우는 사람에게 중요한 것은 프로그램의 문법이 아니라 프로그램의 구조나 알고리즘이다. 본 논문에서는 순서도를 활용해 구조화된 프로그래밍을 학습할 수 있는 언어 학습 시스템을 설계하고 구현하였다.

암환자를 위한 개별교육과 집단교육프로그램이 암환자의 대처양상과 자가 간호행위에 미치는 효과 (Effects of Individual and Group Education Programs on Coping and Self-care Behaviors in Cancer Patients)

  • 김미영;김원옥;한상숙
    • 동서간호학연구지
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    • 제20권1호
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    • pp.1-8
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    • 2014
  • Purpose: The purpose of this study was to investigate the effectiveness of the coping and self-care behaviors between the individual and group education using the structured programs for the patients in chemotherapy. Methods: The quasi experimental study was designed for this study, and 30 patients received individual education and 30 patients received group education. Collecting data had been done through the seven months from March to Oct. 2011. Results: Hypothesis 1: "There could be differences in aspects of coping between the two groups educated using a structured education program" was rejected (F=2.71, p=.105). Hypothesis 2: "The individually educated group using the structured education program will have higher scores than the group education in self-care behaviors" was supported because there were statistically significant differences (F=4.16, p=.046). Conclusion: It was confirmed that individual education programs, among the patient education for cancer patients can be adopted as nursing intervention in nursing practice to improve self-care behaviors. However, there were no differences between th two group in the aspects of coping.

스키마 기반의 XML문서 관리 시스템 설계 (Design of XML Document Management System based on Schema)

  • 조윤기;김영란
    • 한국컴퓨터정보학회논문지
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    • 제6권4호
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    • pp.85-93
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    • 2001
  • 정보화 사회로의 진행이 가속화됨에 따라 정보 양이 급격히 증가하면서 XML을 이용하여 정보를 효율적으로 저장하고 검색하기 위한 많은 연구들이 진행되고 있다. 그러나 기존의 방법은 특정 엘리먼트의 부모, 자식, 형제에 대한 다양한 구조 검색을 효율적으로 지원하지 못한다. 따라서 이 논문에서는 XML 문서의 효율적인 관리와 구조검색을 위해OETID를 이용한 구조 정보 표현과 색인 기법을 제안한다. 또한 XML 문서의 구조 정보를 저장하기 위한 저장 기법과 검색 결과에 대한 문서통합 과정을 제안한다. 제안한 방법을 이용하여 XML 문서의 구조 정보를 효율적으로 표현할 수 있을 뿐 아니라 간단한 연산으로 특정 엘리먼트에 직접적인 접근과, 다양한 질의 처리가 가능하다. 따라서 보다 효율적이고 빠른 검색을 지원할 수 있다.

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국내 약학대학 학생들의 표준화 환자를 활용한 복약상담 교육 및 OSCE에 대한 인식 (Perception of student pharmacists on the utilization of standardized patients for patient counseling and Objective Structured Clinical Examination (OSCE) in South Korea)

  • 박태은;강민구
    • 한국임상약학회지
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    • 제32권1호
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    • pp.8-12
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    • 2022
  • Background: Woosuk University College of Pharmacy delivered patient counseling education and administered Objective Structured Clinical Examination (OSCE) by utilizing standardized patients (SP) in Introductory Pharmacy Practice course. Surveys were conducted to examine students' perception of SP and its impact on experiential education. Methods: Students learned patient counseling by didactic lecture and role-play, followed by hands-on practice with SP. Then, patient counseling skills were assessed during OSCE by utilizing SP. The first survey was conducted immediately after OSCE, and the second survey after the completion of Pharmacy Practice Experiences (PPEs). Results: According to the surveys, majority of the students agreed that utilizing SP was effective in building confidence for conducting patient counseling, reflecting on strengths and weaknesses of communication skills, and preparing for PPEs. It was particularly more effective than role-play in simulating patient counseling in a real pharmacy and reflecting on oneself. Also, OSCE was an appropriate method to assess patient counseling skills and utilizing SP for this purpose was well-suited. Conclusion: Although it is very new in South Korea, other developed countries are already widely utilizing SP, and its importance and necessity have been proven by several studies. Therefore, Korean colleges of pharmacy should begin discussing how to utilize SP to improve students' communications skills and implementing OSCE to evaluate those skills.

초등과학영재학생의 과학지식과 과학창의성의 관계 - 생명 영역을 중심으로 - (The Relationship between Scientific Content Knowledge and Scientific Creativity of Science-Gifted Elementary Students - Focusing on the Subject of Biology -)

  • 김현주;김민주;임채성
    • 한국초등과학교육학회지:초등과학교육
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    • 제39권3호
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    • pp.382-398
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    • 2020
  • This study aims to analyze the relationship between scientific content knowledge of science-gifted elementary students and their expression of scientific creativity, and the characteristics of divided groups according to the levels of their scientific content knowledge and scientific creativity. A science-gifted program was implemented to 33 forth-graders in the Science-Gifted Education Center of an education office in Seoul, Korea. The method of evaluating scientific knowledge was divided into well-structured paper-pencil test (asking specific and limited range of content knowledge of plants) and ill-structured descriptive test (stating all the knowledge they know about plants) to find out which methods were more related to scientific creativity. In addition, in order to find out the characteristics of each group according to the level of scientific content knowledge and scientific creativity, students were required to answer a questionnaire about their own self-perception of scientific knowledge and scientific creativity and how to obtain scientific knowledge. The main results of this study are as follows. First, Both well-structured paper-pencil test (r=.38) and ill-structured descriptive test (r=.51) results of elementary science gifted students were significantly correlated with scientific creativity. Second, As a result of the regression analysis on scientific creativity of science-gifted elementary students, both the knowledge measured by the two evaluation methods have the ability to explain scientific creativity. Third, the students were categorized into four groups according to the levels of their scientific content knowledge and their expression of scientific creativity, and the result showed that the higher the knowledge of science, the higher the scientific creativity. Fourth, the description about self-perception of scientific knowledge revealed that the highest percentage of Type LL students of all 13 students (53.8%, 7 students) answered 'I have little knowledge of plants because I have little interest in them.' Fifth, the description about self-perception of scientific knowledge revealed that the highest percentage of Type HH students of all 15 students (40%, 6 students) answered 'I think my science creativity is high through my experience of scientific creativity. Sixth, the responses to the Questionnaire revealed that 'reading' was the most popular way to obtain scientific knowledge, with 27 out of total 33 students choosing it. In particular, all 18 students from Type HH (high scientific knowledge and high scientific creativity) and Type HL (high scientific knowledge and low scientific creativity) - those with high scientific knowledge - gave that response. On the basis of this research, we should explore practical teaching methods and environment for gifted students to improve their scientific creativity by revealing the nature of the factors that affect scientific creativity and analyzing relationship between knowledge and scientific creativity.

Messick의 타당도 틀을 활용한 임상실습 전 실기시험의 타당도 평가 (Assessing the Validity of the Preclinical Objective Structured Clinical Examination Using Messick's Validity Framework)

  • 이혜윤;윤소정;이상엽;임선주
    • 의학교육논단
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    • 제23권3호
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    • pp.185-193
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    • 2021
  • Students must be familiar with clinical skills before starting clinical practice to ensure patients' safety and enable efficient learning. However, performance is mainly tested in the third or fourth years of medical school, and studies using the validity framework have not been reported in Korea. We analyzed the validity of a performance test conducted among second-year students classified into content, response process, internal structure, relationships with other variables, and consequences according to Messick's framework. As results of the analysis, content validity was secured by developing cases according to a pre-determined blueprint. The quality of the response process was controlled by training and calibrating raters. The internal structure showed that (1) reliability by generalizability theory was acceptable (coefficients of 0.724 and 0.786, respectively, for day 1 and day 2), and (2) the relevant domains had proper correlations, while the clinical performance examination (CPX) and objective structured clinical examination (OSCE) showed weaker relationships. OSCE/CPX scores were correlated with other variables, especially grade point average and oral structured exam scores. The consequences of this assessment were (1) making students learn clinical skills and study themselves, while causing too much stress for students due to lack of motivation; (2) reminding educators of the need to apply practical teaching methods and to give feedback on the test results; and (3) providing an opportunity for faculty to consider developing support programs. It is necessary to develop the blueprint more precisely according to students' level and to verify the validity of the response process with statistical methods.

한의학교육에서 객관구조화진료시험과 진료수행평가에 대한 연구 동향과 후속 연구 및 교육에 대한 제언: 주제범위 문헌고찰 (Presentation on Research Trends and Suggestion for further research and education on Objective Structured Clinical Examination and Clinical Performance Examination in Korean Medicine Education: Scoping Review)

  • 신진영;고예림;송창진;조은별;임정태
    • 대한예방한의학회지
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    • 제26권2호
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    • pp.87-112
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    • 2022
  • Objectives : This study reviewed existing studies on clinical examination of Korean medicine to investigate the trends and gaps of existing research on clinical performance examination (CPX) or objective structured clinical examination (OSCE) in Korean medicine education. Methods : We conducted a scoping review according to the five steps suggested by Arksey and O'Malley. Six databases(RISS, OASIS, KMBASE, KISS, ScienceON, and DBpia) were searched and studies published from 2012 to July 15, 2022 were considered. The subjects of the study were limited to domestic studies about OSCE or CPX conducted in Korean medicine education. Results : Among the 25 selected papers, 17 studies implemented OSCE or CPX in practice. Those studies were conducted in 8 clinical departments and 9 of them used standardized patients. All 14 survey studies reported positive answers in satisfaction, efficacy, and self-assessment. OSCE, CPX scoring items were developed by modifying existing tools or developing through expert surveys or through literature review and significant cases. Conclusions : This study is expected to be used as basic data for following studies and promote clinical examination. From now on, the colleges of Korean medicine should proceed research on large-scale students about extended subjects through various research methods to obtain objective results that can be generalized and acquire validity and reliability. In order to promote such research, it is necessary to induce cooperation from institutions related to Korean Medicine and local universities to develop modules, implement, and conduct post-evaluation.

Oracle8i XDK를 이용한 XML 문서의 질의 (Querying of XML Documents using Oracle8i XDK)

  • 하상호;이강석
    • 대한전자공학회:학술대회논문집
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    • 대한전자공학회 2000년도 하계종합학술대회 논문집(3)
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    • pp.71-74
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    • 2000
  • New methods for storing and retrieving semi-structured data such XML documents has been recently studied. In this paper, we concern querying of XML data stored in relational tables. We first describe a method of querying XML documents using Oracle XDK, especially XSQL Servlet. We then apply the method to XML documents describing book information.

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