• Title/Summary/Keyword: evaluation methods & instruments

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The Relationship between Insomnia and Suicidal Idea Through Resilience (회복탄력성을 통한 주관적 불면의 심각도와 자살사고와의 관계)

  • Jung, Saim;Ju, Gawon;Lee, Sang Ick;Shin, Chul-Jin;Son, Jung-Woo;Kim, Siekyeong
    • Korean Journal of Psychosomatic Medicine
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    • v.25 no.2
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    • pp.193-199
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    • 2017
  • Objectives : Insomnia may be one of the risk factor for suicidal ideation, but little is known about the mechanism by which sleep disturbances confer risk for suicide. The aim of this study was to investigate examine whether insomnia severity would be associated with resilience and suicidal ideation, and whether resilience would mediate the relationship between insomnia and suicidal ideation. Methods : A total of 432 community-dwelling adults(227 male, 205 female,) completed the self-report questionnaire that covered basic socio-demographic data. To assess the psychological variables, the following instruments were applied: Insomnia Severity Index(ISI), Korean Version of the Connor-Davidson Resilience Scale(K-CD-RISC), Beck Hopelessness Scale(BHOP) and Scale for Suicidal Ideation(SSI-Beck). People with an ISI score of 8 or higher were defined as insomnia. Results : Greater insomnia symptom severity was significantly associated with higher level of suicidal ideation and lower level of resilience, adjusting for hopelessness, age, sex, presence of family members living together, and household income. Additional analysis revealed that disturbance of sleep initiation and disturbance of sleep maintenance were significantly associated with suicidal ideation. Mediation analyses revealed that resilience significantly accounted for the relationship between insomnia symptom severity and suicidal ideation. Conclusions : These findings suggest that the evaluation and control of insomnia and resilience may be needed to reduce the risk of suicide.

A Study on Self-Concept, Stress and Adaptation Beharior of Junior School Girls (일부 여자 중학생의 자아개념 및 스트레스와 적응행동에 관한 연구)

  • 노혜숙
    • Korean Journal of Health Education and Promotion
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    • v.3 no.1
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    • pp.43-55
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    • 1985
  • The recent problems of adolescents are leading us to amphasize school mental health program. Therefore, for the first step of that program, this study was attempted to find out the students' daily life stress, their adaptation beharior to resolve that stress, and their self-concept which has an effect on that beharior, to analyze the relationship among those three variables, and to provide basic data which help maintain and promote students' adaptability and mental health. The subjects were 4 classes each grade, 743 students who were chosen as a sample subject among the total of 3,250 students of a junior girls' school in Seoul by stratified sampling method. The Oquestionnair surrey was done from April 1, 1985 to April 6, 1985. The instruments were (1) a part of Junghoon chois' perceptual Orientation Scale for measuring self-perception of students, (2) Rosenberg's Questionnair for measuring students' evaluation of self-esteem, (3) modified Bell's Adoptive Behavior Questionnair, and (4) the Measuring scale for stress developed by the investigator. The collected data were analyzed by using descriptive statistics, x²-test, t-test, ANOVA, and Pearsons' Correlation. The results are summarized as follows: 1. The range of mean score of self-concept, stress, and adaptation beharior is 1-5 respectively. The mean score of self concept was 3.45. The mean score of stress was 2.53, and the degree of stress was in order of the problem of study and grade marks, girl friend, appearance, and relaxation. The subjects preferred effective long-term adaptation method (Mean=2.81) to ineffective short-term adaptation method. (Mean=2.47) 2. The self-concept had the highest degree when students were 1st grade, in good health condition, taking high grade marks, both parents existing, fathers' educational level being above college, and being in high economic status. The degree of stress was significantly high when students were 3rd grade, in poor health condition, having low grade marks, being in poor economic status, and fathers' educational level being under elimentary school. In relation with adaptation method, 1st grade students used more sbort-term and long-term method, and when students had high grade marks, being in high economic status. they used more long-term adaptation behavior. 3. Two Hypotheses of this research were tested: Hypothesis 1. "The higher the students' self-concept is, the more they use long-term adaptation method." was accepted. (r=.2482, p<.01) (t=-4.99, p<.001) Hypothesis 2. "The higher the students' stress is, the more they use short-term adaptation method." was accepted. (r=.2897, p<.01) (t= -7.51, p<.001) In conclusion, a person in charge of school health can help students to adapt effectively by planning and implementing methods which highten their self-concept and lower their stress. But because the correlation among self-concept, stress and adaptation behavior was at a low level, I think that the study, which confirm the relationship of those three variables, is needed.

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Exploring the Relationships between Inquiry Problems and Scientific Reasoning in the Program Emphasized Construction of Problem: Focus on Inquiry About Osmosis (문제의 구성을 강조한 프로그램에서 나타난 탐구 문제와 과학적 추론의 관련성 탐색 -삼투 현상 탐구 활동을 중심으로-)

  • Baek, Jongho
    • Journal of The Korean Association For Science Education
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    • v.40 no.1
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    • pp.77-87
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    • 2020
  • Scientific inquiry has emphasized its importance in various aspects of science learning and has been performed according to various methods and purposes. Among the various aspects of science learning, it is emphasized to develop core competencies with science, such as scientific thinking. Therefore, it is necessary to support students to be able to formulate scientific reasoning properly. This study attempts to explore problem-finding and scientific reasoning in the process of performing scientific inquiry. This study also aims to reveal what factors influence this complex process. For this purpose, this study analyzed the inquiry process and results performed by two groups of college students who conducted the inquiry related to osmosis. To analyze, research plans, presentations, and group interviews were used. As a result, it was found that participants used various scientific reasoning, such as deductive, inductive, and abductive reasoning, in the process of problem finding for their inquiry about osmosis. In the process of inquiry and reasoning complexly, anomalous data, which appear regularly, and the characteristics of experimental instruments influenced their reasoning. Various reasons were produced for the purpose of constructing the best explanation about the phenomena observed by participants themselves. Finally, based on the results of this study, several implications for the development context of programs using scientific inquiry are discussed.

A Study on 'Health' concept of Sasang Constitutional Medicine (건강개염(健康槪念)의 사상의학적(四象醫學的) 고찰(考察))

  • Hwang, Min-Woo;Lim, Jin-Ny;Jung, Yong-Jae;Kim, Sang-Bok;Lee, Soo-Kyung;Koh, Byung-Hee;Song, Il-Byung;Lee, Tae-Gyu
    • Journal of Sasang Constitutional Medicine
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    • v.15 no.3
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    • pp.88-99
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    • 2003
  • Background and Objective : The status of development of instruments to assess the 'health status' reflecting the concept of Sasang Constitutional Medicine is still far from satisfaction, despite their importance in building basic data for health promotion, evaluation of effectiveness of treatment, health policy and so on. for these reasons the health scale of Sasang Constitutional Medicine shod be developed. Therefore as from of preliminary research, this study is to review the concept of health and symptoms in health status in Sasang Constitutional Medicine. Methods : It was researched as bibliologically with Dong-mu's chief medical writings such as ${\ulcorner}Dongyi$ Soose $Bowon{\lrcorner}$(東醫壽世保元)${\ulcorner}Dongyi$ Soose Bowon Sasang Chobongyun(東醫壽世保元四象草本卷)${\lrcorner}$ - Results and conclusion : 1. In Sasang Constitutional Medicine, it is suggested that Inherent vitality(命脈實數) has relations to health and Knowledge-Acting(知行) is a primary factor which affects health. And it is thought that Healthy condition(完實無病) is that human being has enough Healthy energy(保命之主) of Small viscera. 2. In Sasang Constitutional Medicine, it is thought that stool, urine, sweating and digestion become important indexes to measure the physical health state. 3. In Sasang Constitutional Medicine, it is thought that the mental health is in control of inclination of mind by golden mean(中庸) and in tranquillity of constant mind according to constitution. 4. In Sasang Constitutional Medicine, it is thought that the social health is state thar can do social acting harmoniously by keeping away from alcohol, sexual appetite, property and power.

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The Research Trends of Papers in The Korean Journal of Occupational Health Nursing (산업간호학회지 논문의 연구동향 분석)

  • Lim, Kyung-Kee;Park, Kyung-Min
    • Korean Journal of Occupational Health Nursing
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    • v.10 no.2
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    • pp.142-152
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    • 2001
  • This study examined all the papers published in the Journal of Occupational Health Nursing from 1991 to May 2000 based on an objective frame of evaluation. The purpose of study is to prospect the trend of occupational nursing research and to provide an optimal direction for future occupational nursing service. The results of total 94 studies were analyzed as follows. 1. The number of papers published in 1991-1992, 1993-1995, 1996-1997 was not significantly increased. However, the number of papers were obviously increased after 1998. 2. In the design of research, survey studies were definitely dominant. But, they are gradually decreasing and experimental studies are increasing. 3. In the fields of research, health problems, health risk factors and health awareness were higher than others. Occupational health nurse's task and job satisfaction were main areas of research until the middle of 1990's. However, after then, not only health problem, risk factor and awareness of health but also health promotion and preventive health behavior are increasing in the research areas. 4. The collaborative researches have gradually increased and the type of author has been varied. The number of researches completed by funds was undertaking only 3 among the total 94. 5. In the research analysis, except for case studies and literature studies, the research subjects have been shifted from the occupational health nurses to the industrial workers, and more diversified. The sample size has been enlarged and the major place of the study is industry. The questionnaire was used in many studies as instrument for data collection and measurement. But, complementary methods of diverse instruments have been increased. The method of data analysis has obviously showed some changes moving from descriptive statistics to inferential and advanced statistics. 6. The ways of nursing intervention have prominently diversified in experimental studies. The contents of case studies were mainly focused on the health management programs and activities in industry. The research concepts and the contents of literature study were also changed progressively in various way. Based on the above findings, conclusions are extended to the following discussion: Since the Korean Academic Society of Occupational Health Nursing was instituted in 1990, the researches of occupational health nursing have shown an acute methodological development in both quantity and quality. However, they were considered still in the lack of research verifying the effects of nursing intervention program. Also, the development of nursing intervention and nursing theory lacked. Therefore, more empirical researches are strongly needed to utilize the field of occupational health nursing in Korea Researchers are also encouraged to exert more efforts to get research funds.

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The Research of Pain and Functional Disability Assessment Scales for Knee Joint Disease (슬관절의 통증과 기능장애의 평가도구에 관한 연구)

  • Jung, Chan-Yung;Kim, Eun-Jung;Hwang, Min-Seop;Cho, Hyun-Seok;Kim, Kyung-Ho;Lee, Seung-Deok;Kim, Kap-Sung
    • Journal of Acupuncture Research
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    • v.27 no.2
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    • pp.123-142
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    • 2010
  • Objectives : The knee pain is the main reason of getting acupuncture treatment. In order to have confidence in the results of a study, it is necessary to establish that questionnaire is both valid and reliable in questionnaire related study. The aim of this study was to review the instruments that are currently in sue for assessing the knee joint. Methods : A literature study was performed to choose appropriate scales for assessment for pain and the function of the knee. Theoretically based scales were selected for review. Therefore, 18 scales for knee and 9 scale for pain were reviewed. the status of scales involved in knee treatment of acupuncture throughout several countries was evaluated. Results & Conclusion : Lysholm Knee Scoring Scale, Cincinnati knee rating system(CKRS) are adequate for ligament injury in knee. International Knee Documentation Committee scoring system(IKDC) may become a publication requirement for journals in view of the international standing of the committee. The available outcome measure for use in osteoarthritis are Western Ontario and McMaster Universities Osteoarthritis Index(WOMAC), Lequesne Functional Severity Index(LFI) and Knee Injury and Osteoarthritis Outcome Score(KOOS), and in rheumatoid arthritis are McMaster-Toronto Arthritis patient function preference questionnaire(MACTAR), Quality of Life-Rheumatoid Arthritis Scale(QoL-RA Scale). Visual analog scale(VAS), verbal rating scale(VRS) are commonly used for the standard pain scale. For long term follow-up study The Medical Outcomes Study Short Form-36(SF-36), Arthritis Impact Measurement Scales(AIMS), Health Assessment Questionnaire(HAQ) should be included. Each measurement has its own composition and characteristics. Their validity, reliability, responsiveness and practical characteristics were already evaluated. We found 20 domestic and 28 overseas papers about knee treatment using acupuncture assessed with knee scales.

Peripheral Nerve Injuries Associated with Rotator Cuff Tears (견관절 회전근 개 파열과 동반된 말초 신경 손상)

  • Lee, Kwang-Won;Lee, Ho;Na, Kyu-Hyun;Choy, Won-Sik
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.5 no.2
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    • pp.117-122
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    • 2006
  • Purpose: The purpose of this study is to investigate the relationship between rotator cuff tear and nerve injury, and prevalence of nerve injury using electromyographic study. Materials and Methods: From May 2004 to Feb. 2005, 19 cases, who underwent surgery for full-thickness rotator cuff tear, were evaluated for nerve injury using electomyogram instruments preoperatively. Rotator cuff tears caused by acute high energy trauma were excluded in this study. Mean age was 59 (range, 45-87) years and mean duration of symptoms was 45 (range, 1-360) month. Results: There were six nerve injuries (31.6%). All of them were incomplete brachial plexus injuries, and mainly postganglionic lesions. Four cases among them had minor trauma history. There were no significant differences in terms of cuff tear size, range of motion, pain score and functional score between groups with and without nerve injury. Conclusion: This study showed high prevalence (31.6%) of nerve injury in full-thickness rotator cuff tear. So careful physical examination and evaluation for nerve injury are needed in rotator cuff tear.

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Clinical Feasibility of Video-assisted Thoracic Surgery for Thoracic Trauma (흉부외상 치료에서의 비디오 흉강경 수술의 유용성)

  • Kang, Do-Kyun;Kim, Hyeong-Ryul;Kim, Yong-Hee;Kim, Dong-Kwan;Park, Seung-Il
    • Journal of Trauma and Injury
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    • v.23 no.2
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    • pp.170-174
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    • 2010
  • Purpose: As techniques and instruments for video-assisted thoracic surgery (VATS) have been evolving, attempts to perform VATS for chest trauma have been increasing. Several studies have demonstrated the feasibility and safety of VATS for thoracic trauma. We reviewed our experience to evaluate the clinical feasibility and safety of VATS for thoracic trauma. Methods: Fifty-two patients underwent thoracic surgery for chest trauma in Asan Medical Center from January 1990 to December 2009. VATS was performed in 21 patients who showed stable vital signs. We reviewed retrospectively the medical records of those patients to investigate the results of VATS for thoracic trauma. Results: Thoracic exploration for chest trauma was performed in 52 patients. There were 46 males (88.5%) and 6 females (11.5%). The median age was 46.0 years (range: 11~81 years). There were 39 blunt and 13 penetrating traumas. A standard posterolateral thoracotomy was performed in 31 patients, and VATS was tried in 21 patients. We performed successful VATS in 13 patients; 11 males (84.5%) and 2 females (15.5%) with a median age of 46.0 years (range: 24~75 years). The indication of VATS was persistent intrathoracic hemorrhage in 10 patients and clotted hemothorax in 3 patients. There were no complications, but there were two mortalities due to multiple organ failure after massive transfusion. In 8 patients, VATS was converted to a standard posterolateral thoracotomy for several reasons. The reason was inadequate visualization for bleeding control or evacuation of the hematoma in 5 patients. In 3 patients, VATS was performed to evaluate diaphragmatic injury. After the diaphragmatic injury had been confirmed, a standard posterolateral thoracotomy was performed to repair the diaphragm. Conclusion: VATS should be safe and efficient method for diagnostic evaluation and surgical management of stable patients with thoracic trauma.

Characteristics Testing of the ECT Bobbin Probe for Steam Generator Tube Inspection of Nuclear Power Plant (원전 증기발생기 전열관 와전류검사 보빈탐촉자의 특성 시험)

  • Nam, Min-Woo;Lee, Hee-Jong;Cho, Chan-Hee;Yoo, Hyun-Joo
    • Journal of the Korean Society for Nondestructive Testing
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    • v.30 no.4
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    • pp.386-395
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    • 2010
  • The steam generator management program(SGMP) has recently defined the procedures for the qualification of eddy current hardware and technique. These procedures provide two basic methods for qualification. The first way is to qualify the equipment or the probe by using the flaw mechanism and method of the pulled tubes from the heat exchangers or the artificial flawed tubes. The second way is to verify the equivalency with the characteristics of the qualified equipment or probe. In this case, the qualified equipment or probe may be modified to substitute or replace instruments or probes without re-qualification provided that the range of essential variables defined in the examination technique specification sheet are met. This study is to describe the result of the comparative performance evaluation of bobbin coil eddy current probes manufactured by KEPCO Research Institute and probes manufactured by a foreign manufacturer. As a result of this study, although there were minor differences between the two kinds of probes, it was evaluated that the two kinds of probes were almost identical in the significant performance characteristics described in the KEPCO Research Institute guideline.

Method Validation for Monitoring of Agricultural Worker Exposure to Insecticide Fenthion (살충제 Fenthion에 대한 농작업자 노출 측정을 위한 분석/시험방법 검증)

  • Kim, Eun-Hye;Lee, Hye-Ri;Choi, Hoon;Moon, Joon-Kwan;Hong, Soon-Sung;Jeong, Mi-Hye;Park, Kyung-Hun;Lee, Hyo-Min;An, Xue Hua;Kim, Jeong-Han
    • The Korean Journal of Pesticide Science
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    • v.15 no.4
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    • pp.357-365
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    • 2011
  • Exposure measurement of agricultural worker to pesticide is one of important part of health risk assessment of pesticide. Therefore exposure matrices, apparatus, instruments and methods must be validated in advance to field experiment. In this study, method validation with an organophosphorus insecticide fenthion was carried out for exposure monitoring of agricultural worker. LOD and LOQ were 0.01 and 0.05 ng, respectively. Calibration curve linearity ($R^2$ > 0.999) and reproducibility (C.V. < 3%) were also excellent. Recovery at LOQ, 10LOQ and 100LOQ levels from gloves, socks, mask, patch, solid sorbent, glass fiber filter was 76~113% (C.V. < 3%). Trapping efficiency was 95~105% while no breakthrough was observed. Method validation for the exposure monitoring was established successfully through several experiments. Such method validation can be usually performed in laboratory and not much different for each pesticide so that, this techniques will be applied widely in research for pesticide exposure monitoring by combination with body surface area and respiration rates.