• Title/Summary/Keyword: behavior modification

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Development and Evaluation of the Reliability and Validity of the VSSS-82 Korean Version for Measuring Satisfaction with Community-based Mental Health Services in Psychiatric Patients (지역사회정신보건서비스 이용자의 만족도 측정을 위한 한국어판 Verona Service Satisfaction Scale-82 (VSSS-82)의 개발 및 신뢰도와 타당도 평가)

  • Yoo, Weon-Seob;Moon, Ok-Ryun;Nam, Jung-Hyun;Shin, Young-Jeon
    • Journal of Preventive Medicine and Public Health
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    • v.34 no.3
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    • pp.211-218
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    • 2001
  • Objectives : To develop a Korean version of VSSS-82 for measuring the multi-dimensional satisfaction with community-based mental health services in psychiatric patients and to investigate both the reliability and validity of the Korean version. Methods : The VSSS-82 English version was translated and back-translated with some modification. Data from 68 psychosis patients using community-based mental health services in three Community Mental Health Centers (CMHCs) was collected through a personal interview survey regarding the satisfaction and suitability of service. Variability of satisfaction and internal consistency, discriminant validity, and concurrent validity of the VSSS-82 Korean version were evaluated. Results : A higher number of dissatisfied subjects and significant pairwise differences for the dimensions were found. The Crohnbach's alpha coefficient, a measure of internal consistency, ranged from 0.56(overall satisfaction) to 0.90(skills and behavior) and significant differences in satisfaction was found in patients by the self-rated suitability of service. Conclusions : The VSSS-82 Korean version is a reliable and valid instrument for measuring multi-dimensional satisfaction with community-based mental health service.

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Effects of an Obesity Control Program Including Rhythmical Dance Exercise for Children with Obesity (비만아동을 위한 율동적 춤 운동을 포함한 비만관리프로그램의 효과)

  • Won, Jong-Soon;Jun, Sun-Hwan;Han, Ae-Kyung
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.15 no.4
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    • pp.475-484
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    • 2008
  • Purpose: The purpose of this study was to identify effects of an obesity control program including rhythmical dance exercise, on body composition, knowledge about obesity, life habits and self-esteem among obese elementary school children. This program included obesity related health education and counseling based on behavior modification once a week, 1 hour-rhythmical dance class once a week and 40-minute jump rope classes twice a week for 8 weeks. Method: There were 29 students with obesity in the experimental and 28 in the control group. Participated was voluntary. The data were collected from April 16 to July 6 2007. $x^2$-test, Fisher's exact test, paired t-test and t-test were used to analyze the data. Results: Students in the experimental group showed significantly lower fat mass (t=-2.16, p=.036) and percent body fat (t=-2.93, p=.005) and significantly higher muscle mass (t=2.05, p=.045) and lean body mass (t=2.71, p=.009) than those in the control group. Knowledge of obesity increased significantly and eating habits changed significantly. But difference in exercise habits and self-esteem were not significant. Conclusion: This study provides evidence that an 8 week-obesity control program including rhythmical dance exercise is effective in decreasing body fat, increasing muscle mass and increasing knowledge of obesity in children who are obese.

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A Case of Childhood Obstructive Sleep Apnea Syndrome (소아 폐쇄성 수면무호흡증후군 1례)

  • Shin, Hong-Beom;Lee, Yu-Jin;Jeong, Do-Un
    • Sleep Medicine and Psychophysiology
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    • v.11 no.2
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    • pp.106-109
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    • 2004
  • Adenotonsillar hypertrophy is the leading cause of childhood obstructive sleep apnea. Obstructive sleep apnea syndrome in childhood, however, can occur from various causes such as obesity or craniofacial abnormalities. Childhood obstructive sleep apnea syndrome can be accompanied by enuresis, parasomnias and behavior problems. For patients with the symptoms of snoring and apnea, obstructive sleep apnea should be suspected and diagnosed properly. In addition, the evaluation of complications and proper treatment are indispensable. When the cause of childhood obstructive sleep apnea is adenotonsillar hypertrophy, symptoms can be improved by surgical methods. If the cause is other than adenotonsillar hypertrophy, such as obesity, it should be treated with other therapeutic modalities, like nasal continuous positive airway pressure (nCPAP), weight reduction and modification of life style. This paper reports a case of nCPAP used to manage severe sleep apnea when it was not resolved after adenoidectomy and tonsillectomy. Differential diagnosis of narcolepsy in a case with excessive daytime sleepiness and reflections on accompanying enuresis and parasomnia were also described.

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Effectiveness of Obesity management programs: systematic review and meta-analysis (메타분석을 이용한 비만관리 프로그램의 효과분석)

  • Lee, Hyo-Young
    • Korean Journal of Health Education and Promotion
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    • v.24 no.4
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    • pp.131-147
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    • 2007
  • As overweight and obese people have increased, obesity management programs have generated much concern in Korea. Many types of obesity management programs were operated, aimed at reducing weight, BMI, body fat percentage and so on. This study was conducted to review the features of studies in obesity management programs and systematically assess the effects which were published from 1995 to 2006 in Korea. Databases were systematically searched for published data in Korea. It were KISS (Korean studies information services system) and KERIS (Korean Education research information system), which were major literature search systems for all academic fields in Korea. Total 114 studies were initially identified, of which 21 satisfied our inclusion data. The effects of obesity management programs were assessed on the results in weight, BMI (body mass index), HDL (high density lipids), body fat percentage, self-efficacy. Effect size estimated on the equation of M1 - M2 / Sp, where M1 was mean of the experimental group, M2 was the mean of control group, and Sp was the pooled standard deviation. Magnitude of effect size was interpreted by using Cohen's definition. Cohen described small, medium, and large effect sizes as 0.2, 0.5, and 0.8 respectively. The studies about obesity management programs were the most published in 2005(26.1%). Obesity management programs were popularly operated as the type of 12 weeks intervention, exercise intervention(52.4%), quasi-experimental study(85.7%). Ten studies reported significant effects on weight, and nine studies reported significant effects on BMI and HDL. Only five and three studies reported significant effects on body fat percentage and self-efficacy respectively. The effects of each outcome were generally significant when the studies included these elements, intervention over 10 weeks, evaluation over 3 times, a comprehensive program (exercise, nutrition education, behavior modification) and reinforcing factors (self-monitoring, group discussion, one's goal setting, and etc.). Effective obesity management programs should contain these essential elements and objectives of obesity management programs must be set out evident at the beginning. The participants should be registered, educated and evaluated by continuous obesity management programs.

Combustion and NOx Emission Characteristics of the Gas Turbine Combustor Burning Medium-Btu Gas as Alternative Fuel (중발열량 가스 대체 시 가스터빈 연소기의 연소 및 NOx 배출 특성)

  • Lee, Chan;Seo, Je-Young
    • Journal of Energy Engineering
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    • v.12 no.4
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    • pp.320-327
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    • 2003
  • A CFD (Computational fluid Dynamics) research is conducted for the investigation of the fuel alteration of MBTU (medium-Btu) gas in IGCC gas turbine combustor. The computational analysis method of the gas turbine combustor is constructed by incorporating MBTU gas reaction and fuel NOx models into commercial CFD code. With the use of the present analysis method, comparisons are made on the flow velocity, the chemical species and the temperature distributions, and on the flame shape and behavior of gas turbine combustor firing natural gas and MBTU gases (coal gas, heavy residue oil gas). Furthermore, the NOx formation characteristics and the turbine matching condition of the combustor are analyzed. Based on the computed analysis results, the present study provides the directions for the redesign and the design modification of IGCC gas turbine combustor firing MBTU gas as alternative fuel.

Combustion Characteristics of Coal-Fired Boiler Depending on the Variations in Combustion Air Supply Method (미분탄 보일러의 연소용 공기공급 변화에 따른 노내 연소상태 해석)

  • Seo, San-Il;Park, Ho-Young;Kang, Dong-Soo;Jeong, Dong-Hae
    • Journal of Energy Engineering
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    • v.19 no.3
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    • pp.156-162
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    • 2010
  • 3-D CFD(Computational Fluid Dynamics) work were carried out to investigate the combustion characteristics in a boiler depending on the variations in air supply condition. For the gas temperature, $O_2$, NO, SOx at the outlet of economizer, the predicted values were been compared with the measured data. With the verified CFD model, the effects of air flow rates through SOFA(Separated Over Fire Air) and CCOFA(Closed Coupled Over Fire Air) on the combustion behavior in a boiler were simulated, and the distributions of NOx and gas temperature were mainly compared each other. The change in SOFA air flow rate gave the more sensitive effect on NOx than that in CCOFA. The distributions of gas temperature at convection path are differed with the changes in SOFA and CCOFA flow rate, so the combustion modification such as yaw anlge adjustment are required to get an enhanced gas temperature distribution.

LES for Turbulent Channel Flow with Blowing Velocity (분류유동이 있는 채널 난류유동의 LES 해석)

  • Na, Yang;Lee, Chang-Jin
    • Journal of the Korean Society for Aeronautical & Space Sciences
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    • v.35 no.8
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    • pp.699-705
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    • 2007
  • Recent experimental data shows that the noticeable feature of irregular roughened spots on the fuel surface occurs during the combustion test with PMMA/GOX in the hybrid rocket motor. The generation of these unexpected patterns is likely to be resulted from the disturbed boundary layer due caused by wall blowing which is intented to simulate the process of fuel vaporization. LES technique was implemented to investigate both the flow characteristics near fuel surface and the subsequent evolution of turbulence modified by the wall blowing. Simple channel geometry instead of circular grain configuration was used for the investigation without chemical reactions in order to allow for a focused examination on the near-wall behavior at the Reynolds number of 22,500. It was shown that the wall blowing pushed turbulent structures upwards making them tilted and this skewed displacement, in effect, left the foot prints of the structures on the surface. This change of kinematics may explain the formation of irregular isolated spots on the fuel surface observed in the experiment.

Noise Phobia-Induced Relative Polycythemia in a Dog (개에서 소리공포증에 의해 발생한 상대적 적혈구증가증 증례)

  • Kang, Min-Hee;Park, Hee-Myung
    • Journal of Veterinary Clinics
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    • v.29 no.6
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    • pp.494-497
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    • 2012
  • A 6-year-old castrated male Miniature Pinscher dog was referred due to shaking, panting and inappropriate elimination during thunderstorms. The dog had noise phobia after a car accident two years ago. The intensity of the fear of noise, especially with thunderstorms, worsened during the past 3 months (thunderstorm season). Physical examination revealed hyperthermia, tachypnea (panting), mild tachycardia, and an elevated systolic blood pressure. Laboratory examination revealed mild polycythemia with a lower oxygen pressure and saturation. Based on the history, physical examination, and laboratory tests, the dog was diagnosed as a noise phobia concurrent with relative polycythemia. Treatment was initiated with behavior modification with desensitization, counter-conditioning, and medication. Music therapy was also used and appeared to be beneficial. Clinical signs including polycythemia are improved. This case indicates that relative polycythemia can be occurred by chronic mental stress, such as noise phobia in a dog.

Oxidized Biotite in the Weathering Profile of Andong Cranite (안동화강암의 풍화단면에서 산출되는 산화흑운모)

  • 정기영;김혜빈
    • Journal of the Mineralogical Society of Korea
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    • v.15 no.3
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    • pp.183-194
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    • 2002
  • Biotite and its weathering Products in the weathering Profile of Andong granite were examined using X-ray diffraction, chemical analysis, and electron microscopy. Major weathering product of biotite was oxidized biotite, which is decomposed into kaolinite in the upper part. Discrete vermiculite or hydrobiotite was not detected although minor vermiculite (5%) was randomly interstratified with oxidized biotite. Excess positive charge induced by iron oxidation was balanced by release of Fe (16%) and Mg (12%) from octahedral site and K (13%) from interlayer site. After slight chemical and structural modification induced by iron oxidation, oxidized biotite persists through the weathering profiles with partial decomposition in the upper part of the profile. Formation environments and dissolution experiments of oxidized biotite highly resistant to weathering are required to understand the elemental behavior in the surface environments on the biotite-bearing bedrocks.

Effects of Surface Defect Distribution of $SiO_x(x{\le}2)$ Plates on Chemical Quenching ($SiO_x(x{\le}2)$ 플레이트의 표면 결함 분포가 화학 소염에 미치는 영향)

  • Kim, Kyu-Tae;Kwon, Se-Jin
    • 한국연소학회:학술대회논문집
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    • 2005.10a
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    • pp.328-336
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    • 2005
  • Effects of surface defect distribution on flame instability during flame-surface interaction are experimentally investigated. To examine the chemical quenching phenomenon, we prepared thermally grown silicon oxide plates with well-defined defect density. Ion implantation was used to control the number of defects, i.e. oxygen vacancies. In an attempt to preferentially remove the oxygen atoms from silicon dioxide surface, argon ions with low energy level from 3keV to 5keV were irradiated at the incident angle of $60^{\circ}C$. Compositional and structural modification of $SiO_2$ induced by low-energy $Ar^+$ ion irradiation has been characterized by Atomic Force Microscopy (AFM) and X-ray Photoelectron Spectroscopy (XPS). The analysis shows that as the ion energy increases, the number of structural defect also increases and non-stoichiometric condition of $SiO_x(x{\le}2)$ plates is enhanced. From the quenching distance measurements, we found out that when the surface temperature is under $300^{\circ}C$, the quenching distance decreases on account of reduced heat loss; as the surface temperature increases over $300^{\circ}C$, however, quenching distance increases despite reduced heat loss effect. Such aberrant behavior is caused by heterogeneous chemical reaction between active radicals and surface defect sites. The higher defect density, the larger quenching distance. This results means that chemical quenching is governed by radical adsorption and can be parameterized by the oxygen vacancy density on the surface.

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